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 $36.31 Median $36.31 Typical High $93.33 | Facility | None | $36.31 | $36.31 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $93.33 | Professional | None | $36.31 | $36.31 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $117.49 Typical High $158.49 | Facility | None | $112.20 | $117.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $91.20 | Professional | None | $50.12 | $77.62 | $91.20 |
Hometown Health Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $190.55 | Professional | None | $64.57 | $102.33 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $4,265.80 | Facility | None | $112.20 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $117.49 | Professional | None | $72.44 | $102.33 | $117.49 |
United Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $112.20 | Professional | None | $47.86 | $72.44 | $112.20 |
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 $18.20 Median $18.20 Typical High $45.71 | Professional | 52 · Reduced service | $18.20 | $18.20 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $18.62 | Professional | 53 · Discontinued | $7.24 | $7.24 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $13.80 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $9.33 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $9.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
Where Nevada sits
The same service costs 1.9 times more in Montana than in Virginia. 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· 26th of 51
$77.62
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.