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 $1.74 Median $1.74 Typical High $1.78 | Facility | None | $1.74 | $1.74 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | None | $1.74 | $1.78 | $1.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.82 | Professional | None | $1.05 | $1.05 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.29 | Facility | None | $1.20 | $1.20 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.86 | Professional | None | $1.02 | $1.02 | $1.86 |
Hometown Health Setting Professional Modifier None Typical Low $1.23 Median $1.74 Typical High $3.47 | Professional | None | $1.23 | $1.74 | $3.47 |
Select Health Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $4,265.80 | Facility | None | $2.04 | $2.04 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1.32 Median $1.86 Typical High $2.04 | Professional | None | $1.32 | $1.86 | $2.04 |
United Setting Professional Modifier None Typical Low $0.81 Median $1.45 Typical High $2.04 | Professional | None | $0.81 | $1.45 | $2.04 |
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 $0.26 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.17 | $0.18 | $0.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.74 Median $0.74 Typical High $0.74 | Professional | UE · Used equipment | $0.74 | $0.74 | $0.74 |
Where Nevada sits
The same service costs 2.1 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· 19th of 51
$1.55
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.