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 $19.05 Median $19.05 Typical High $48.98 | Facility | None | $19.05 | $19.05 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $48.98 | Professional | None | $14.45 | $19.05 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $83.18 | Facility | None | $60.26 | $61.66 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $37.15 | Facility | None | $30.20 | $34.67 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $38.90 | Professional | None | $24.55 | $25.70 | $38.90 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $100.00 | Professional | None | $38.90 | $58.88 | $100.00 |
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 $38.02 Median $50.12 Typical High $60.26 | Professional | None | $38.02 | $50.12 | $60.26 |
United Setting Facility Modifier None Typical Low $16.22 Median $29.51 Typical High $31.62 | Facility | None | $16.22 | $29.51 | $31.62 |
United Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $60.26 | Professional | None | $20.89 | $31.62 | $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 $3.80 Median $3.80 Typical High $9.77 | Professional | 53 · Discontinued | $3.80 | $3.80 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $7.24 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $4.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $33.11 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | UE · Used equipment | $24.55 | $24.55 | $24.55 |
Where Nevada sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$31.62
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.