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 $5.01 Median $5.01 Typical High $5.75 | Facility | None | $5.01 | $5.01 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $11.48 | Professional | None | $5.01 | $5.01 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $9.33 | Professional | None | $7.94 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $23.44 | Facility | None | $20.89 | $20.89 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $21.38 | Professional | None | $14.79 | $15.49 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $14.79 | Professional | None | $5.37 | $7.94 | $14.79 |
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 $2.51 Median $2.51 Typical High $2.88 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.15 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $0.85 | Professional | 55 · Aftercare only | $0.76 | $0.76 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.50 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.50 | $0.50 | $0.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.13 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | UE · Used equipment | $10.72 | $10.72 | $10.72 |
Where Nevada sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 46th of 51
$9.55
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.