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 $3.80 Median $3.80 Typical High $3.89 | Facility | None | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | None | $3.80 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.24 | Professional | None | $2.24 | $2.24 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $4.07 | Professional | None | $2.29 | $2.29 | $4.07 |
Hometown Health Setting Professional Modifier None Typical Low $2.69 Median $3.98 Typical High $7.59 | Professional | None | $2.69 | $3.98 | $7.59 |
Select Health Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4,265.80 | Facility | None | $4.57 | $4.57 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.88 Median $4.07 Typical High $4.57 | Professional | None | $2.88 | $4.07 | $4.57 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.16 Typical High $4.57 | Professional | None | $1.78 | $3.16 | $4.57 |
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 $0.56 Median $0.58 Typical High $0.58 | Professional | 55 · Aftercare only | $0.56 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.38 | $0.39 | $0.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $2.14 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | UE · Used equipment | $1.58 | $1.58 | $1.58 |
Where Nevada sits
The same service costs 2.3 times more in Hawaii than in Connecticut. 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· 18th of 51
$3.39
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.