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 $4.17 Median $4.17 Typical High $4.27 | Facility | None | $4.17 | $4.17 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $4.27 Typical High $4.27 | Professional | None | $1.35 | $4.27 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.98 | Professional | None | $2.45 | $2.45 | $3.98 |
Hometown Health Setting Professional Modifier None Typical Low $2.95 Median $4.27 Typical High $8.32 | Professional | None | $2.95 | $4.27 | $8.32 |
Select Health Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4,265.80 | Facility | None | $4.90 | $4.90 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.16 Median $4.27 Typical High $4.90 | Professional | None | $3.16 | $4.27 | $4.90 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.47 Typical High $4.90 | Professional | None | $1.95 | $3.47 | $4.90 |
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 $0.63 Median $0.65 Typical High $0.65 | Professional | 55 · Aftercare only | $0.63 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.43 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.42 | $0.43 | $0.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | UE · Used equipment | $1.82 | $1.82 | $1.82 |
Where Nevada sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 15th of 51
$3.72
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.