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 $16.98 Median $16.98 Typical High $19.50 | Facility | None | $16.98 | $16.98 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $70.79 | Facility | None | $50.12 | $51.29 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $24.55 Typical High $33.88 | Professional | None | $7.94 | $24.55 | $33.88 |
Hometown Health Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $85.11 | Professional | None | $32.36 | $48.98 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $4,265.80 | Facility | None | $50.12 | $50.12 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $52.48 | Professional | None | $32.36 | $45.71 | $52.48 |
United Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $50.12 | Professional | None | $20.89 | $32.36 | $50.12 |
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 $8.51 Median $8.51 Typical High $9.77 | Professional | 52 · Reduced service | $8.51 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.89 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $1.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | RR · Rental | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
Where Nevada sits
The same service costs 2.2 times more in Montana than in Arizona. 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
$24.55
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.