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 $27.54 Median $27.54 Typical High $70.79 | Facility | None | $27.54 | $27.54 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $70.79 | Professional | None | $27.54 | $27.54 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $123.03 | Facility | None | $87.10 | $89.13 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | None | $47.86 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | None | $69.18 | $69.18 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $69.18 | Professional | None | $38.90 | $58.88 | $69.18 |
Hometown Health Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $147.91 | Professional | None | $50.12 | $79.43 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $4,265.80 | Facility | None | $87.10 | $87.10 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $91.20 | Professional | None | $56.23 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $87.10 | Professional | None | $37.15 | $56.23 | $87.10 |
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 $13.80 Median $13.80 Typical High $35.48 | Professional | 52 · Reduced service | $13.80 | $13.80 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $14.13 | Professional | 53 · Discontinued | $5.50 | $5.50 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $10.72 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $7.08 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $47.86 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $35.48 | $35.48 | $35.48 |
Where Nevada sits
The same service costs 2.0 times more in Montana than in South Carolina. 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· 34th of 51
$58.88
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.