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 $64.57 Median $64.57 Typical High $74.13 | Facility | None | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $269.15 | Facility | None | $190.55 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $107.15 | Professional | None | $47.86 | $79.43 | $107.15 |
Hometown Health Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $323.59 | Professional | None | $125.89 | $190.55 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,265.80 | Facility | None | $190.55 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $199.53 | Professional | None | $123.03 | $173.78 | $199.53 |
United Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $190.55 | Professional | None | $79.43 | $123.03 | $190.55 |
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 $32.36 Median $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | RR · Rental | $100.00 | $100.00 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | UE · Used equipment | $75.86 | $75.86 | $79.43 |
Where Nevada sits
The same service costs 2.6 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· 47th of 51
$93.33
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.