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 $19.50 Median $19.50 Typical High $48.98 | Facility | None | $19.50 | $19.50 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $48.98 | Professional | None | $19.50 | $19.50 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $85.11 | Facility | None | $60.26 | $63.10 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.02 | Facility | None | $34.67 | $34.67 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | None | $25.12 | $25.12 | $39.81 |
Hometown Health Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $102.33 | Professional | None | $34.67 | $54.95 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $4,265.80 | Facility | None | $60.26 | $60.26 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $60.26 | Professional | None | $38.90 | $54.95 | $60.26 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Facility | None | $27.54 | $27.54 | $29.51 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | None | $26.30 | $39.81 | $60.26 |
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 $9.55 Median $9.55 Typical High $24.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $10.00 | Professional | 53 · Discontinued | $3.89 | $3.89 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $7.41 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $4.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $25.12 | $25.12 | $25.12 |
Where Nevada sits
The same service costs 2.5 times more in Hawaii 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· 25th of 51
$38.90
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.