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 $9.77 Median $9.77 Typical High $10.00 | Facility | None | $9.77 | $9.77 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $10.00 Typical High $10.00 | Professional | None | $3.24 | $10.00 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $8.71 | Professional | None | $6.03 | $6.03 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $7.59 | Facility | None | $6.92 | $6.92 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.89 Typical High $6.92 | Professional | None | $5.37 | $5.89 | $6.92 |
Hometown Health Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $19.50 | Professional | None | $6.92 | $10.23 | $19.50 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $4,265.80 | Facility | None | $11.75 | $11.75 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $11.75 | Professional | None | $7.41 | $10.47 | $11.75 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $11.75 | Professional | None | $4.47 | $6.61 | $11.75 |
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 $1.48 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.48 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.98 | $1.00 | $1.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $5.75 | $6.03 | $6.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | UE · Used equipment | $4.27 | $4.27 | $4.27 |
Where Nevada sits
The same service costs 2.1 times more in Idaho than in Colorado. 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
$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.