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 $11.75 Median $11.75 Typical High $12.02 | Facility | None | $11.75 | $11.75 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | None | $11.75 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | None | $7.24 | $7.24 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.91 | Facility | None | $8.32 | $8.32 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.08 Typical High $8.32 | Professional | None | $4.68 | $7.08 | $8.32 |
Hometown Health Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $23.99 | Professional | None | $8.32 | $12.30 | $23.99 |
Select Health Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $4,265.80 | Facility | None | $14.13 | $14.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $14.13 | Professional | None | $8.91 | $12.59 | $14.13 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.33 Typical High $14.13 | Professional | None | $5.50 | $9.33 | $14.13 |
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 $1.78 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.78 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.17 | $1.20 | $1.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $6.92 | $7.24 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | UE · Used equipment | $5.13 | $5.13 | $5.13 |
Where Nevada sits
The same service costs 2.1 times more in Idaho 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· 22nd of 51
$9.33
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.