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 $0.87 Median $0.87 Typical High $0.89 | Facility | None | $0.87 | $0.87 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.89 Typical High $0.89 | Professional | None | $0.72 | $0.89 | $0.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.50 Median $0.51 Typical High $4.79 | Professional | None | $0.50 | $0.51 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $1.86 | Professional | None | $0.52 | $0.52 | $1.86 |
Hometown Health Setting Professional Modifier None Typical Low $0.83 Median $1.05 Typical High $1.62 | Professional | None | $0.83 | $1.05 | $1.62 |
Select Health Setting Facility Modifier None Typical Low $1.05 Median $1.05 Typical High $4,265.80 | Facility | None | $1.05 | $1.05 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $0.66 Median $0.93 Typical High $1.05 | Professional | None | $0.66 | $0.93 | $1.05 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.62 Typical High $1.26 | Professional | None | $0.34 | $0.62 | $1.26 |
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 $0.45 Median $0.50 Typical High $0.50 | Professional | RR · Rental | $0.45 | $0.50 | $0.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.36 Median $0.38 Typical High $0.50 | Professional | UE · Used equipment | $0.36 | $0.38 | $0.50 |
Where Nevada sits
The same service costs 2.7 times more in Kansas than in Connecticut. 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· 16th of 51
$0.87
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.