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 $1.95 Median $1.95 Typical High $2.00 | Facility | None | $1.95 | $1.95 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.00 Typical High $2.00 | Professional | None | $1.78 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.02 Median $1.26 Typical High $1.26 | Professional | None | $1.02 | $1.26 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.74 | Facility | None | $1.41 | $1.41 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.19 | Professional | None | $1.20 | $1.20 | $2.19 |
Hometown Health Setting Professional Modifier None Typical Low $1.38 Median $2.09 Typical High $3.98 | Professional | None | $1.38 | $2.09 | $3.98 |
Select Health Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $4,265.80 | Facility | None | $2.29 | $2.29 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1.48 Median $2.09 Typical High $2.40 | Professional | None | $1.48 | $2.09 | $2.40 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.26 Typical High $2.29 | Professional | None | $0.95 | $1.26 | $2.29 |
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 $0.28 Median $0.30 Typical High $0.30 | Professional | 55 · Aftercare only | $0.28 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.17 Median $1.26 Typical High $1.26 | Professional | RR · Rental | $1.17 | $1.26 | $1.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | UE · Used equipment | $0.89 | $0.89 | $0.89 |
Where Nevada sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$1.51
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.