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 $9.33 Median $9.33 Typical High $10.72 | Facility | None | $9.33 | $9.33 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | None | $9.33 | $9.33 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $28.84 Typical High $38.90 | Facility | None | $27.54 | $28.84 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $17.38 | Facility | None | $15.85 | $15.85 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $17.78 | Professional | None | $11.48 | $11.48 | $17.78 |
Hometown Health Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $46.77 | Professional | None | $15.85 | $25.12 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $4,265.80 | Facility | None | $27.54 | $27.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $28.84 | Professional | None | $17.78 | $25.12 | $28.84 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $27.54 | Professional | None | $11.75 | $18.20 | $27.54 |
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 $4.68 Median $4.68 Typical High $5.37 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.14 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.38 Median $1.38 Typical High $1.62 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $1.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $15.49 | $15.49 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $11.48 | $11.48 | $11.48 |
Where Nevada sits
The same service costs 5.5 times more in Kansas 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· 35th of 51
$15.49
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.