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 $12.02 Median $12.02 Typical High $12.30 | Facility | None | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | None | $12.02 | $12.30 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.72 | Facility | None | $10.00 | $10.00 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | None | $8.51 | $8.51 | $13.80 |
Hometown Health Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $24.55 | Professional | None | $8.51 | $12.59 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $4,265.80 | Facility | None | $14.45 | $14.45 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $16.98 | Professional | None | $9.12 | $12.88 | $16.98 |
United Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $14.45 | Professional | None | $6.61 | $8.91 | $14.45 |
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 $1.82 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.82 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.20 | $1.23 | $1.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $7.08 | $7.59 | $7.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Where Nevada sits
The same service costs 2.3 times more in Montana 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· 27th of 51
$10.00
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.