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 $25.70 Median $25.70 Typical High $26.30 | Facility | None | $25.70 | $25.70 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | None | $25.70 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $22.91 | Facility | None | $12.59 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $25.12 | Professional | None | $16.60 | $18.20 | $25.12 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $52.48 | Professional | None | $18.20 | $30.20 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $4,265.80 | Facility | None | $30.90 | $30.90 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $27.54 Typical High $36.31 | Professional | None | $19.50 | $27.54 | $36.31 |
United Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $30.90 | Professional | None | $14.13 | $19.05 | $30.90 |
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 $3.89 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.89 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.57 | $2.63 | $2.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.02 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 27th 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.