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 $48.98 Median $48.98 Typical High $125.89 | Facility | None | $48.98 | $48.98 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $125.89 | Professional | None | $48.98 | $48.98 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $213.80 | Facility | None | $154.88 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | None | $93.33 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $100.00 | Professional | None | $63.10 | $72.44 | $100.00 |
Hometown Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $257.04 | Professional | None | $100.00 | $151.36 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $4,265.80 | Facility | None | $154.88 | $154.88 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $158.49 | Professional | None | $97.72 | $138.04 | $158.49 |
United Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $154.88 | Professional | None | $66.07 | $100.00 | $154.88 |
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 $7.41 Median $7.41 Typical High $18.62 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $12.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $83.18 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
Where Nevada sits
The same service costs 2.2 times more in Montana 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· 24th of 51
$100
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.