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 $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $8.91 Typical High $8.91 | Professional | None | $2.88 | $8.91 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.59 | Professional | None | $5.13 | $5.13 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $8.51 | Professional | None | $5.25 | $5.25 | $8.51 |
Hometown Health Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $17.78 | Professional | None | $6.31 | $8.91 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $4,265.80 | Facility | None | $10.47 | $10.47 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $10.47 | Professional | None | $6.61 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $10.47 | Professional | None | $4.17 | $7.41 | $10.47 |
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 $1.32 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $1.32 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.89 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.87 | $0.89 | $0.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $4.79 | $5.13 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | UE · Used equipment | $3.63 | $3.63 | $3.63 |
Where Nevada sits
The same service costs 2.1 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· 16th of 51
$7.41
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.