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 $38.90 Median $38.90 Typical High $45.71 | Facility | None | $38.90 | $38.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $63.10 | Professional | None | $34.67 | $38.90 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $165.96 | Facility | None | $117.49 | $120.23 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None | $64.57 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $72.44 | Facility | None | $66.07 | $66.07 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
Hometown Health Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $199.53 | Professional | None | $67.61 | $104.71 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $120.23 | Professional | None | $74.13 | $104.71 | $120.23 |
United Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $117.49 | Professional | None | $48.98 | $75.86 | $117.49 |
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 $64.57 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $64.57 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Nevada sits
The same service costs 2.5 times more in Kansas than in Delaware. 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· 44th of 51
$63.10
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.