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 $60.26 Median $60.26 Typical High $61.66 | Facility | None | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | None | $60.26 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Facility | None | $38.02 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $33.11 | Professional | None | $28.84 | $32.36 | $33.11 |
Hometown Health Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $120.23 | Professional | None | $42.66 | $64.57 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $4,265.80 | Facility | None | $70.79 | $70.79 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $70.79 | Professional | None | $45.71 | $64.57 | $70.79 |
United Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $70.79 | Professional | None | $27.54 | $37.15 | $70.79 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | UE · Used equipment | $33.11 | $33.11 | $33.11 |
Where Nevada sits
The same service costs 2.3 times more in Hawaii than in Vermont. 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· 37th of 51
$38.02
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.