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 $47.86 Median $47.86 Typical High $123.03 | Facility | None | $47.86 | $47.86 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $123.03 | Professional | None | $47.86 | $47.86 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $208.93 | Facility | None | $151.36 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $97.72 Typical High $109.65 | Facility | None | $89.13 | $97.72 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $72.44 Typical High $97.72 | Professional | None | $33.88 | $72.44 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $257.04 | Professional | None | $85.11 | $134.90 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $4,265.80 | Facility | None | $151.36 | $151.36 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $154.88 | Professional | None | $95.50 | $134.90 | $154.88 |
United Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $151.36 | Professional | None | $64.57 | $97.72 | $151.36 |
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 $7.24 Median $7.24 Typical High $18.62 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $12.30 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $12.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Where Nevada sits
The same service costs 4.2 times more in Kansas than in Delaware. 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· 31st of 51
$95.50
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.