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 $5.89 Median $5.89 Typical High $6.03 | Facility | None | $5.89 | $5.89 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $6.03 | Professional | None | $5.25 | $6.03 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $4.17 Typical High $4.47 | Facility | None | $3.16 | $4.17 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.55 Typical High $4.90 | Professional | None | $3.47 | $3.55 | $4.90 |
Hometown Health Setting Professional Modifier None Typical Low $4.17 Median $6.17 Typical High $11.75 | Professional | None | $4.17 | $6.17 | $11.75 |
Select Health Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $4,265.80 | Facility | None | $7.08 | $7.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $7.08 | Professional | None | $4.47 | $6.31 | $7.08 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $7.08 | Professional | None | $2.69 | $3.72 | $7.08 |
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 $0.89 Median $0.89 Typical High $0.89 | Professional | 55 · Aftercare only | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.60 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.59 | $0.60 | $0.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | UE · Used equipment | $2.34 | $2.34 | $2.34 |
Where Nevada sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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
$4.17
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.