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 $10.47 Median $10.47 Typical High $10.72 | Facility | None | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $10.72 Typical High $10.72 | Professional | None | $3.47 | $10.72 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.71 | Professional | None | $6.46 | $6.46 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.94 | Facility | None | $7.41 | $7.41 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $7.41 | Professional | None | $4.68 | $6.31 | $7.41 |
Hometown Health Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $20.89 | Professional | None | $7.41 | $10.96 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $4,265.80 | Facility | None | $12.59 | $12.59 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $12.59 | Professional | None | $7.94 | $11.22 | $12.59 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.71 Typical High $12.59 | Professional | None | $4.90 | $8.71 | $12.59 |
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 $1.58 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.58 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | RR · Rental | $6.17 | $6.46 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | UE · Used equipment | $4.57 | $4.57 | $4.57 |
Where Nevada sits
The same service costs 2.0 times more in Montana than in Florida. 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
$7.94
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.