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 $13.80 Median $13.80 Typical High $15.85 | Facility | None | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | None | $13.80 | $13.80 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $42.66 Typical High $57.54 | Facility | None | $40.74 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | None | $13.18 | $13.18 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $26.30 | Professional | None | $16.98 | $16.98 | $26.30 |
Hometown Health Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $69.18 | Professional | None | $26.92 | $40.74 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $4,265.80 | Facility | None | $40.74 | $40.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $42.66 | Professional | None | $26.30 | $37.15 | $42.66 |
United Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $40.74 | Professional | None | $16.98 | $26.30 | $40.74 |
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 $6.92 Median $6.92 Typical High $7.94 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.16 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.40 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $22.39 | Professional | RR · Rental | $13.18 | $13.18 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.00 Typical High $16.98 | Professional | UE · Used equipment | $10.00 | $10.00 | $16.98 |
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· 26th of 51
$22.91
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.