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 $25.12 Median $25.12 Typical High $64.57 | Facility | None | $25.12 | $25.12 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $64.57 | Professional | None | $25.12 | $25.12 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $112.20 | Facility | None | $79.43 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $53.70 | Facility | None | $48.98 | $48.98 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | None | $35.48 | $35.48 | $56.23 |
Hometown Health Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $134.90 | Professional | None | $45.71 | $70.79 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $4,265.80 | Facility | None | $79.43 | $79.43 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $100.00 | Professional | None | $50.12 | $70.79 | $100.00 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $39.81 | Facility | None | $19.95 | $19.95 | $39.81 |
United Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $79.43 | Professional | None | $37.15 | $56.23 | $79.43 |
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 $12.59 Median $12.59 Typical High $32.36 | Professional | 52 · Reduced service | $12.59 | $12.59 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $12.88 | Professional | 53 · Discontinued | $5.01 | $5.01 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $3.80 Typical High $9.77 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $6.46 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $6.46 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $47.86 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $39.81 | $39.81 | $39.81 |
Where Nevada sits
The same service costs 2.8 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· 32nd of 51
$52.48
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.