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 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $43.65 | Facility | None | $31.62 | $32.36 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | None | $25.12 | $25.12 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Hometown Health Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $53.70 | Professional | None | $17.78 | $28.18 | $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 $19.95 Median $28.18 Typical High $32.36 | Professional | None | $19.95 | $28.18 | $32.36 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $31.62 | Professional | None | $13.49 | $20.42 | $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 $2.00 Median $2.00 Typical High $5.13 | Professional | 53 · Discontinued | $2.00 | $2.00 | $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 $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
Where Nevada sits
The same service costs 2.1 times more in Minnesota than in Washington, DC. 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· 32nd of 51
$21.38
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.