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 $0.44 Median $0.44 Typical High $0.45 | Facility | None | $0.44 | $0.44 | $0.45 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.45 Typical High $0.45 | Professional | None | $0.14 | $0.45 | $0.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.24 | Professional | None | $0.20 | $0.20 | $0.24 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.39 | Facility | None | $0.31 | $0.31 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.38 | Professional | None | $0.26 | $0.26 | $0.38 |
Hometown Health Setting Professional Modifier None Typical Low $0.30 Median $0.47 Typical High $0.87 | Professional | None | $0.30 | $0.47 | $0.87 |
Select Health Setting Facility Modifier None Typical Low $0.52 Median $0.52 Typical High $4,265.80 | Facility | None | $0.52 | $0.52 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $0.33 Median $0.47 Typical High $0.52 | Professional | None | $0.33 | $0.47 | $0.52 |
United Setting Professional Modifier None Typical Low $0.21 Median $0.28 Typical High $0.55 | Professional | None | $0.21 | $0.28 | $0.55 |
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 $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.15 Median $0.15 Typical High $0.18 | Professional | UE · Used equipment | $0.15 | $0.15 | $0.18 |
Where Nevada sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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· 22nd of 51
$0.36
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.