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 $3.24 Median $3.24 Typical High $3.31 | Facility | None | $3.24 | $3.24 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.31 Typical High $3.31 | Professional | None | $3.24 | $3.31 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $7.08 | Professional | None | $2.00 | $2.00 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.82 | Facility | None | $2.29 | $2.29 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.95 Typical High $2.29 | Professional | None | $1.62 | $1.95 | $2.29 |
Hometown Health Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $6.46 | Professional | None | $2.63 | $3.47 | $6.46 |
Select Health Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $4,265.80 | Facility | None | $3.89 | $3.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $3.89 | Professional | None | $2.45 | $3.47 | $3.89 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.69 Typical High $7.41 | Professional | None | $1.51 | $2.69 | $7.41 |
2 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 $1.91 Median $2.00 Typical High $2.00 | Professional | RR · Rental | $1.91 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | UE · Used equipment | $1.41 | $1.41 | $1.41 |
Where Nevada sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 21st of 51
$2.82
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.