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 $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $77.62 Typical High $77.62 | Professional | None | $27.54 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $125.89 | Facility | None | $91.20 | $93.33 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $63.10 | Facility | None | $58.88 | $58.88 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $58.88 | Professional | None | $41.69 | $43.65 | $58.88 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $91.20 Typical High $151.36 | Professional | None | $51.29 | $91.20 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,265.80 | Facility | None | $91.20 | $91.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $91.20 | Professional | None | $57.54 | $81.28 | $91.20 |
United Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $91.20 | Professional | None | $37.15 | $57.54 | $91.20 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Where Nevada sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 23rd of 51
$61.66
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.