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 $2.63 Median $2.63 Typical High $2.69 | Facility | None | $2.63 | $2.63 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $2.69 Typical High $2.69 | Professional | None | $0.85 | $2.69 | $2.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.29 | Facility | None | $1.86 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.51 | Professional | None | $1.58 | $1.58 | $2.51 |
Hometown Health Setting Professional Modifier None Typical Low $1.86 Median $2.82 Typical High $5.37 | Professional | None | $1.86 | $2.82 | $5.37 |
Select Health Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $4,265.80 | Facility | None | $3.16 | $3.16 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $3.16 | Professional | None | $2.04 | $2.82 | $3.16 |
United Setting Professional Modifier None Typical Low $1.23 Median $1.66 Typical High $3.16 | Professional | None | $1.23 | $1.66 | $3.16 |
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 $0.40 Median $0.41 Typical High $0.41 | Professional | 55 · Aftercare only | $0.40 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.27 | $0.27 | $0.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | UE · Used equipment | $1.05 | $1.05 | $1.05 |
Where Nevada sits
The same service costs 3.0 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· 20th of 51
$2.19
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.