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 $0.81 Median $0.81 Typical High $0.83 | Facility | None | $0.81 | $0.81 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.26 Median $0.83 Typical High $0.83 | Professional | None | $0.26 | $0.83 | $0.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $0.49 Typical High $0.58 | Professional | None | $0.38 | $0.49 | $0.58 |
Hometown Health Setting Professional Modifier None Typical Low $0.56 Median $0.87 Typical High $1.62 | Professional | None | $0.56 | $0.87 | $1.62 |
Select Health Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $4,265.80 | Facility | None | $0.98 | $0.98 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $0.62 Median $0.87 Typical High $0.98 | Professional | None | $0.62 | $0.87 | $0.98 |
United Setting Professional Modifier None Typical Low $0.37 Median $0.50 Typical High $0.98 | Professional | None | $0.37 | $0.50 | $0.98 |
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 $0.62 Median $0.62 Typical High $0.62 | Professional | RR · Rental | $0.62 | $0.62 | $0.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | UE · Used equipment | $0.47 | $0.47 | $0.47 |
Where Nevada sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 22nd of 51
$0.62
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.