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 $7.76 Median $7.76 Typical High $7.94 | Facility | None | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $7.94 Typical High $7.94 | Professional | None | $2.51 | $7.94 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.74 Median $3.47 Typical High $3.47 | Professional | None | $0.74 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.75 | Facility | None | $5.37 | $5.37 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $8.71 | Professional | None | $4.57 | $4.57 | $8.71 |
Hometown Health Setting Professional Modifier None Typical Low $5.50 Median $8.13 Typical High $15.49 | Professional | None | $5.50 | $8.13 | $15.49 |
Select Health Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $4,265.80 | Facility | None | $9.12 | $9.12 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $9.12 | Professional | None | $5.89 | $7.76 | $9.12 |
United Setting Professional Modifier None Typical Low $0.78 Median $4.79 Typical High $9.12 | Professional | None | $0.78 | $4.79 | $9.12 |
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 $1.00 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $1.00 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.68 | $0.79 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | UE · Used equipment | $2.57 | $2.57 | $2.57 |
Where Nevada sits
The same service costs 4.2 times more in Hawaii than in Kentucky. 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· 24th of 51
$5.50
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.