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 $13.49 Median $13.49 Typical High $13.80 | Facility | None | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | None | $13.49 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $10.23 | Facility | None | $8.13 | $9.55 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $9.55 | Professional | None | $7.59 | $8.13 | $9.55 |
Hometown Health Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $26.92 | Professional | None | $9.55 | $14.13 | $26.92 |
Select Health Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $4,265.80 | Facility | None | $16.22 | $16.22 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $16.22 | Professional | None | $10.23 | $14.45 | $16.22 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $16.22 | Professional | None | $6.31 | $8.51 | $16.22 |
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 $2.04 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.35 | $1.38 | $1.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | RR · Rental | $7.94 | $8.13 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | UE · Used equipment | $5.89 | $5.89 | $5.89 |
Where Nevada sits
The same service costs 2.2 times more in Kansas 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· 22nd of 51
$10.72
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.