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 $4.07 Median $4.07 Typical High $4.17 | Facility | None | $4.07 | $4.07 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $4.17 | Professional | None | $3.02 | $4.17 | $4.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.75 | Professional | None | $2.51 | $2.51 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $3.09 | Facility | None | $2.88 | $2.88 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $4.37 | Professional | None | $2.45 | $2.45 | $4.37 |
Hometown Health Setting Professional Modifier None Typical Low $2.88 Median $4.27 Typical High $8.13 | Professional | None | $2.88 | $4.27 | $8.13 |
Select Health Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4,265.80 | Facility | None | $4.90 | $4.90 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.09 Median $4.37 Typical High $4.90 | Professional | None | $3.09 | $4.37 | $4.90 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.95 Typical High $4.90 | Professional | None | $1.91 | $2.95 | $4.90 |
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 $0.62 Median $0.63 Typical High $0.63 | Professional | 55 · Aftercare only | $0.62 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.42 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.41 | $0.42 | $0.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.40 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | UE · Used equipment | $1.78 | $1.78 | $1.78 |
Where Nevada sits
The same service costs 2.8 times more in Kansas than in Delaware. 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· 26th of 51
$3.02
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.