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 $10.72 Median $10.72 Typical High $27.54 | Facility | None | $10.72 | $10.72 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | None | $10.72 | $10.72 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $35.48 Typical High $47.86 | Facility | None | $33.88 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | None | $19.95 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $20.42 | Facility | None | $18.62 | $18.62 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $21.88 | Professional | None | $13.49 | $13.49 | $21.88 |
Hometown Health Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $57.54 | Professional | None | $19.50 | $30.90 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $4,265.80 | Facility | None | $33.88 | $33.88 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $33.88 | Professional | None | $21.88 | $30.20 | $33.88 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Facility | None | $14.45 | $14.45 | $16.60 |
United Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $33.88 | Professional | None | $12.59 | $19.05 | $33.88 |
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 $5.37 Median $5.37 Typical High $13.80 | Professional | 52 · Reduced service | $5.37 | $5.37 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $5.62 | Professional | 53 · Discontinued | $2.19 | $2.19 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $4.17 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $2.75 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $2.75 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.22 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $16.22 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | UE · Used equipment | $14.79 | $14.79 | $14.79 |
Where Nevada sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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
$19.05
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.