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 $33.11 Median $33.11 Typical High $38.02 | Facility | None | $33.11 | $33.11 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None | $33.11 | $33.11 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $138.04 | Facility | None | $97.72 | $100.00 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $58.88 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Facility | None | $60.26 | $60.26 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $43.65 Typical High $60.26 | Professional | None | $19.05 | $43.65 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Hometown Health Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $165.96 | Professional | None | $56.23 | $87.10 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $4,265.80 | Facility | None | $97.72 | $97.72 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $107.15 | Professional | None | $61.66 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $35.48 Median $69.18 Typical High $97.72 | Professional | None | $35.48 | $69.18 | $97.72 |
1 more rate 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 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 2.5 times more in Kansas than in Florida. 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· 45th of 51
$47.86
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.