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 $4.27 Median $4.27 Typical High $4.37 | Facility | None | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $4.37 Typical High $4.37 | Professional | None | $1.38 | $4.37 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.47 | Professional | None | $2.51 | $2.51 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $3.47 | Professional | None | $2.29 | $2.51 | $3.47 |
Hometown Health Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $8.51 | Professional | None | $3.02 | $4.47 | $8.51 |
Select Health Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $4,265.80 | Facility | None | $5.01 | $5.01 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $5.01 | Professional | None | $3.24 | $4.57 | $5.01 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.55 Typical High $5.01 | Professional | None | $1.95 | $3.55 | $5.01 |
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 $0.63 Median $0.65 Typical High $0.65 | Professional | 55 · Aftercare only | $0.63 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.43 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.42 | $0.43 | $0.43 |
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 2.1 times more in Montana than in Colorado. 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· 23rd of 51
$3.47
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.