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 $17.38 Median $17.38 Typical High $19.95 | Facility | None | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | None | $17.38 | $17.38 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $72.44 | Facility | None | $51.29 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | None | $34.67 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $34.67 | Professional | None | $14.79 | $25.70 | $34.67 |
Hometown Health Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $87.10 | Professional | None | $33.88 | $51.29 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $4,265.80 | Facility | None | $51.29 | $51.29 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $53.70 | Professional | None | $33.11 | $46.77 | $53.70 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $51.29 | Professional | None | $21.88 | $33.11 | $51.29 |
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 $8.71 Median $8.71 Typical High $10.00 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.98 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $2.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | RR · Rental | $27.54 | $27.54 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | UE · Used equipment | $20.42 | $20.42 | $21.38 |
Where Nevada sits
The same service costs 2.1 times more in Montana than in New Jersey. 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· 35th of 51
$27.54
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.