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 $10.00 Median $10.00 Typical High $25.70 | Facility | None | $10.00 | $10.00 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $25.70 | Professional | None | $10.00 | $10.00 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $44.67 | Facility | None | $31.62 | $32.36 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $18.62 | Professional | None | $17.78 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $18.20 | Facility | None | $16.22 | $16.22 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | None | $12.02 | $12.02 | $20.42 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $53.70 | Professional | None | $18.20 | $28.84 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $4,265.80 | Facility | None | $31.62 | $31.62 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $31.62 | Professional | None | $20.42 | $25.12 | $31.62 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Facility | None | $12.88 | $12.88 | $15.49 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $31.62 | Professional | None | $10.96 | $16.60 | $31.62 |
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 $5.01 Median $5.01 Typical High $12.88 | Professional | 52 · Reduced service | $5.01 | $5.01 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $5.13 | Professional | 53 · Discontinued | $2.04 | $2.04 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $3.89 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $2.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $14.13 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | UE · Used equipment | $13.49 | $13.49 | $13.49 |
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· 30th of 51
$16.60
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.