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 $5.01 Median $5.01 Typical High $5.13 | Facility | None | $5.01 | $5.01 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | None | $5.01 | $5.13 | $5.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $4.07 | Facility | None | $3.80 | $3.80 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $4.07 | Professional | None | $2.45 | $3.24 | $4.07 |
Hometown Health Setting Professional Modifier None Typical Low $3.55 Median $5.25 Typical High $10.00 | Professional | None | $3.55 | $5.25 | $10.00 |
Select Health Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $4,265.80 | Facility | None | $6.03 | $6.03 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $6.03 | Professional | None | $3.80 | $5.37 | $6.03 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.31 Typical High $6.03 | Professional | None | $2.29 | $3.31 | $6.03 |
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 $0.76 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.76 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.50 | $0.51 | $0.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | RR · Rental | $2.95 | $2.95 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | UE · Used equipment | $2.19 | $2.19 | $2.19 |
Where Nevada sits
The same service costs 3.2 times more in Kansas than in New Hampshire. 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· 25th of 51
$3.55
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.