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 $31.62 Median $31.62 Typical High $32.36 | Facility | None | $31.62 | $31.62 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | None | $31.62 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $23.44 | Facility | None | $18.20 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $30.20 | Professional | None | $17.38 | $18.62 | $30.20 |
Hometown Health Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $63.10 | Professional | None | $22.39 | $33.11 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $4,265.80 | Facility | None | $38.02 | $38.02 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $38.02 | Professional | None | $23.99 | $31.62 | $38.02 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $38.02 | Professional | None | $14.45 | $19.95 | $38.02 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $3.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.60 | $16.60 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | UE · Used equipment | $12.59 | $12.59 | $12.59 |
Where Nevada sits
The same service costs 2.9 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· 22nd of 51
$23.44
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.