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 $3.47 Median $3.47 Typical High $3.55 | Facility | None | $3.47 | $3.47 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $1.12 Median $3.55 Typical High $3.55 | Professional | None | $1.12 | $3.55 | $3.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.57 | Facility | None | $2.40 | $2.40 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.04 Typical High $2.40 | Professional | None | $1.91 | $2.04 | $2.40 |
Hometown Health Setting Professional Modifier None Typical Low $2.45 Median $3.72 Typical High $6.92 | Professional | None | $2.45 | $3.72 | $6.92 |
Select Health Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4,265.80 | Facility | None | $4.07 | $4.07 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $4.07 | Professional | None | $2.63 | $3.72 | $4.07 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.14 Typical High $4.07 | Professional | None | $1.58 | $2.14 | $4.07 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $5.25 | $5.25 | $5.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | UE · Used equipment | $3.98 | $3.98 | $3.98 |
Where Nevada sits
The same service costs 2.1 times more in Hawaii 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· 32nd of 51
$2.51
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.