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 $3.72 Median $3.72 Typical High $3.80 | Facility | None | $3.72 | $3.72 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $3.80 | Professional | None | $2.75 | $3.80 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.24 Median $2.19 Typical High $6.31 | Professional | None | $0.24 | $2.19 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $10.00 | Professional | None | $1.82 | $1.82 | $10.00 |
Hometown Health Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $6.92 | Professional | None | $3.55 | $4.47 | $6.92 |
Select Health Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4,265.80 | Facility | None | $4.47 | $4.47 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $4.47 | Professional | None | $2.82 | $3.98 | $4.47 |
United Setting Professional Modifier None Typical Low $0.26 Median $1.82 Typical High $5.01 | Professional | None | $0.26 | $1.82 | $5.01 |
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 $2.14 Typical High $2.14 | Professional | RR · Rental | $0.21 | $2.14 | $2.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | UE · Used equipment | $1.55 | $1.58 | $1.58 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in California. 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
$3.09
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.