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 $12.88 Median $12.88 Typical High $14.79 | Facility | None | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | None | $12.88 | $12.88 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $53.70 | Facility | None | $38.02 | $38.90 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $28.18 | Facility | None | $25.70 | $25.70 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $18.62 Typical High $25.70 | Professional | None | $7.59 | $18.62 | $25.70 |
Hometown Health Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $64.57 | Professional | None | $24.55 | $37.15 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $4,265.80 | Facility | None | $38.02 | $38.02 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $39.81 | Professional | None | $24.55 | $34.67 | $39.81 |
United Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $38.02 | Professional | None | $15.85 | $24.55 | $38.02 |
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 $6.31 Median $6.31 Typical High $7.41 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | RR · Rental | $20.89 | $20.89 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | UE · Used equipment | $15.49 | $15.49 | $15.49 |
Where Nevada sits
The same service costs 2.2 times more in Montana than in New Jersey. 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
$18.62
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.