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 $17.78 Median $17.78 Typical High $18.20 | Facility | None | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | None | $13.18 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $13.18 | Facility | None | $8.91 | $12.30 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $16.98 | Professional | None | $10.47 | $10.47 | $16.98 |
Hometown Health Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $35.48 | Professional | None | $12.59 | $18.62 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $4,265.80 | Facility | None | $20.89 | $20.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $20.89 | Professional | None | $13.49 | $17.78 | $20.89 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $21.38 | Professional | None | $8.32 | $11.75 | $21.38 |
4 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 55 · Aftercare only Typical Low $2.63 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.63 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $1.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | UE · Used equipment | $7.08 | $7.08 | $7.08 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 19th of 51
$14.79
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.