How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $21.88 | Facility | None | $19.05 | $19.05 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | None | $19.05 | $19.05 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $79.43 | Facility | None | $56.23 | $57.54 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $37.15 | Facility | None | $33.11 | $33.11 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | None | $23.99 | $23.99 | $37.15 |
Hometown Health Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $95.50 | Professional | None | $36.31 | $54.95 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $4,265.80 | Facility | None | $56.23 | $56.23 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $58.88 | Professional | None | $36.31 | $51.29 | $58.88 |
United Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $56.23 | Professional | None | $23.44 | $36.31 | $56.23 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.37 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $3.24 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Where Nevada sits
The same service costs 2.6 times more in Montana than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 26th of 51
$33.11
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.