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 $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | None | $30.90 | $30.90 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $128.82 | Facility | None | $91.20 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $57.54 | Facility | None | $51.29 | $51.29 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | None | $37.15 | $37.15 | $63.10 |
Hometown Health Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | None | $58.88 | $89.13 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,265.80 | Facility | None | $91.20 | $91.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $95.50 | Professional | None | $58.88 | $83.18 | $95.50 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $91.20 | Professional | None | $38.02 | $58.88 | $91.20 |
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 $15.49 Median $15.49 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | RR · Rental | $47.86 | $47.86 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | UE · Used equipment | $36.31 | $36.31 | $37.15 |
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· 30th of 51
$51.29
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.