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 $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $50.12 | Professional | None | $30.90 | $30.90 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $47.86 | Professional | None | $33.11 | $34.67 | $47.86 |
Hometown Health Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $117.49 | Professional | None | $41.69 | $63.10 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $4,265.80 | Facility | None | $69.18 | $69.18 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $69.18 | Professional | None | $44.67 | $63.10 | $69.18 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $69.18 | Professional | None | $26.92 | $38.90 | $69.18 |
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 $8.71 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.89 | $6.03 | $6.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $28.84 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $21.88 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 22nd of 51
$43.65
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.