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 $16.22 Median $16.22 Typical High $19.05 | Facility | None | $16.22 | $16.22 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $50.12 Typical High $67.61 | Facility | None | $48.98 | $50.12 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Facility | None | $27.54 | $27.54 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $27.54 | Professional | None | $10.96 | $19.95 | $27.54 |
Hometown Health Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $83.18 | Professional | None | $31.62 | $47.86 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $4,265.80 | Facility | None | $48.98 | $48.98 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $50.12 | Professional | None | $30.90 | $43.65 | $50.12 |
United Setting Professional Modifier None Typical Low $20.42 Median $31.62 Typical High $48.98 | Professional | None | $20.42 | $31.62 | $48.98 |
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 $8.13 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
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· 41st of 51
$25.12
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.