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 $39.81 Median $39.81 Typical High $102.33 | Facility | None | $39.81 | $39.81 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $102.33 | Professional | None | $39.81 | $39.81 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $177.83 | Facility | None | $125.89 | $128.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $107.15 | Facility | None | $100.00 | $100.00 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Hometown Health Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $213.80 | Professional | None | $72.44 | $114.82 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $4,265.80 | Facility | None | $125.89 | $125.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $131.83 | Professional | None | $81.28 | $114.82 | $131.83 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $125.89 | Professional | None | $53.70 | $81.28 | $125.89 |
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 $19.95 Median $19.95 Typical High $51.29 | Professional | 52 · Reduced service | $19.95 | $19.95 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $20.42 | Professional | 53 · Discontinued | $7.94 | $7.94 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $15.49 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $10.23 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $10.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | UE · Used equipment | $251.19 | $251.19 | $251.19 |
Where Nevada sits
The same service costs 2.4 times more in Indiana than in Kentucky. 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· 29th of 51
$85.11
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.