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 $23.99 Median $23.99 Typical High $61.66 | Facility | None | $23.99 | $23.99 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $61.66 | Professional | None | $23.99 | $23.99 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $107.15 | Facility | None | $75.86 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $4,265.80 | Facility | None | $75.86 | $75.86 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $79.43 | Professional | None | $47.86 | $67.61 | $79.43 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $75.86 | Professional | None | $32.36 | $48.98 | $75.86 |
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 $3.63 Median $3.63 Typical High $9.33 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $6.17 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $6.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $41.69 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
Where Nevada sits
The same service costs 2.2 times more in Montana than in West Virginia. 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· 29th 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.