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 $5.62 Median $5.62 Typical High $5.75 | Facility | None | $5.62 | $5.62 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $5.75 | Professional | None | $5.01 | $5.75 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4.27 | Facility | None | $3.98 | $3.98 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $6.17 | Professional | None | $3.39 | $3.39 | $6.17 |
Hometown Health Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $11.22 | Professional | None | $3.89 | $5.62 | $11.22 |
Select Health Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $4,265.80 | Facility | None | $6.76 | $6.76 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $6.76 | Professional | None | $4.27 | $5.75 | $6.76 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.55 Typical High $6.76 | Professional | None | $2.57 | $3.55 | $6.76 |
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 $0.76 Median $0.87 Typical High $0.87 | Professional | 55 · Aftercare only | $0.76 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.58 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.50 | $0.58 | $0.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | RR · Rental | $2.82 | $2.82 | $2.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | UE · Used equipment | $2.09 | $2.09 | $2.09 |
Where Nevada sits
The same service costs 2.2 times more in Minnesota 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· 20th of 51
$4.68
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.