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 $21.88 Median $21.88 Typical High $22.39 | Facility | None | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | None | $21.88 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $11.48 | Professional | None | $9.77 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $16.60 | Facility | None | $15.49 | $15.49 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $21.38 | Professional | None | $12.30 | $13.18 | $21.38 |
Hometown Health Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $44.67 | Professional | None | $15.49 | $22.91 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $4,265.80 | Facility | None | $26.30 | $26.30 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $26.30 | Professional | None | $16.60 | $23.44 | $26.30 |
United Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $26.30 | Professional | None | $10.23 | $13.80 | $26.30 |
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 $3.31 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.31 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.19 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $10.96 | $11.48 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | UE · Used equipment | $8.13 | $8.13 | $8.13 |
Where Nevada sits
The same service costs 3.5 times more in Hawaii 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· 23rd of 51
$16.60
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.