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 $0.34 Median $0.34 Typical High $0.35 | Facility | None | $0.34 | $0.34 | $0.35 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.35 Typical High $0.35 | Professional | None | $0.23 | $0.35 | $0.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.19 | Professional | None | $0.18 | $0.18 | $0.19 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.22 | Facility | None | $0.19 | $0.20 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.16 Median $0.17 Typical High $0.20 | Professional | None | $0.16 | $0.17 | $0.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $0.34 Typical High $0.54 | Professional | None | $0.23 | $0.34 | $0.54 |
Select Health Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $4,265.80 | Facility | None | $0.31 | $0.31 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $0.20 Median $0.28 Typical High $0.31 | Professional | None | $0.20 | $0.28 | $0.31 |
United Setting Professional Modifier None Typical Low $0.14 Median $0.20 Typical High $0.31 | Professional | None | $0.14 | $0.20 | $0.31 |
1 more rate 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 UE · Used equipment Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | UE · Used equipment | $0.13 | $0.13 | $0.13 |
Where Nevada sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 31st of 51
$0.20
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.