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 $15.49 Median $15.49 Typical High $17.78 | Facility | None | $15.49 | $15.49 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | None | $15.49 | $15.49 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $64.57 | Facility | None | $45.71 | $46.77 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | None | $23.99 | $23.99 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $30.20 | Facility | None | $26.92 | $26.92 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $26.92 | Professional | None | $10.96 | $19.95 | $26.92 |
Hometown Health Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $77.62 | Professional | None | $29.51 | $44.67 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $4,265.80 | Facility | None | $45.71 | $45.71 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $47.86 | Professional | None | $28.84 | $40.74 | $47.86 |
United Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $45.71 | Professional | None | $19.05 | $29.51 | $45.71 |
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 $7.59 Median $7.59 Typical High $8.91 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $2.63 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.51 | $1.51 | $1.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.62 |
Where Nevada sits
The same service costs 2.5 times more in Montana than in Delaware. 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· 34th of 51
$23.99
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.