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 $20.42 Median $20.42 Typical High $23.44 | Facility | None | $20.42 | $20.42 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $26.30 | Professional | None | $18.20 | $20.42 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $63.10 Typical High $85.11 | Facility | None | $61.66 | $63.10 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $38.02 | Facility | None | $33.88 | $33.88 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $36.31 | Professional | None | $19.05 | $25.12 | $36.31 |
Hometown Health Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $102.33 | Professional | None | $39.81 | $60.26 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $4,265.80 | Facility | None | $61.66 | $61.66 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $63.10 | Professional | None | $38.90 | $54.95 | $63.10 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $61.66 | Professional | None | $25.70 | $38.90 | $61.66 |
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 $10.23 Median $10.23 Typical High $11.75 | Professional | 52 · Reduced service | $10.23 | $10.23 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.68 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $3.55 | Professional | 55 · Aftercare only | $3.09 | $3.09 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $33.11 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $25.12 | $25.12 | $25.12 |
Where Nevada sits
The same service costs 2.8 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· 40th of 51
$32.36
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.