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 $3.39 Median $3.39 Typical High $3.47 | Facility | None | $3.39 | $3.39 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | None | $3.39 | $3.47 | $3.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.82 | Facility | None | $2.57 | $2.57 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Hometown Health Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $6.76 | Professional | None | $2.40 | $3.98 | $6.76 |
Select Health Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4,265.80 | Facility | None | $3.98 | $3.98 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $3.98 | Professional | None | $2.57 | $3.63 | $3.98 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.45 Typical High $3.98 | Professional | None | $1.82 | $2.45 | $3.98 |
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 $0.51 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.51 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.34 | $0.35 | $0.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.29 Median $2.45 Typical High $2.45 | Professional | RR · Rental | $2.29 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | UE · Used equipment | $1.74 | $1.74 | $1.74 |
Where Nevada sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 31st of 51
$2.45
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.