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 $8.13 Median $8.13 Typical High $20.89 | Facility | None | $8.13 | $8.13 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $20.89 | Professional | None | $8.13 | $8.13 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $26.30 Typical High $36.31 | Facility | None | $25.70 | $26.30 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | None | $13.49 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Facility | None | $14.45 | $14.45 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $16.60 | Professional | None | $10.47 | $10.47 | $16.60 |
Hometown Health Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $43.65 | Professional | None | $14.79 | $22.91 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $4,265.80 | Facility | None | $25.70 | $25.70 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $25.70 | Professional | None | $16.22 | $22.91 | $25.70 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.88 | Facility | None | $12.59 | $12.59 | $12.88 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $25.70 | Professional | None | $8.91 | $13.49 | $25.70 |
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 $4.07 Median $4.07 Typical High $10.47 | Professional | 52 · Reduced service | $4.07 | $4.07 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $4.17 | Professional | 53 · Discontinued | $1.62 | $1.62 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $3.16 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $2.09 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $2.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | RR · Rental | $11.48 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
Where Nevada sits
The same service costs 3.0 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· 32nd of 51
$13.49
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.