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 $41.69 Median $41.69 Typical High $43.65 | Facility | None | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $95.50 | Facility | None | $69.18 | $70.79 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $309.03 | Professional | None | $28.84 | $42.66 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $38.02 | Professional | None | $25.70 | $38.02 | $38.02 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $109.65 | Professional | None | $52.48 | $69.18 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $4,265.80 | Facility | None | $69.18 | $69.18 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $72.44 | Professional | None | $48.98 | $61.66 | $72.44 |
United Setting Professional Modifier None Typical Low $26.92 Median $57.54 Typical High $89.13 | Professional | None | $26.92 | $57.54 | $89.13 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $4.27 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $28.84 | $31.62 | $31.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Nevada sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 33rd of 51
$43.65
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.