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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $10.96 Typical High $10.96 | Professional | None | $3.55 | $10.96 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $10.72 | Professional | None | $6.76 | $6.76 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $7.59 | Professional | None | $4.68 | $6.46 | $7.59 |
Hometown Health Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $21.88 | Professional | None | $7.76 | $11.48 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $4,265.80 | Facility | None | $12.88 | $12.88 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $12.88 | Professional | None | $8.13 | $11.48 | $12.88 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $12.88 | Professional | None | $5.01 | $9.12 | $12.88 |
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 $1.62 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.62 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.07 | $1.12 | $1.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.76 Typical High $6.76 | Professional | RR · Rental | $6.31 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | UE · Used equipment | $4.79 | $4.79 | $4.79 |
Where Nevada sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$8.71
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.