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 $23.99 Median $23.99 Typical High $27.54 | Facility | None | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | None | $23.99 | $23.99 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $100.00 | Facility | None | $72.44 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | None | $32.36 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Hometown Health Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | None | $46.77 | $70.79 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $4,265.80 | Facility | None | $72.44 | $72.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $72.44 | Professional | None | $45.71 | $64.57 | $72.44 |
United Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $72.44 | Professional | None | $25.12 | $38.90 | $72.44 |
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 $33.11 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.11 | $33.88 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | UE · Used equipment | $24.55 | $24.55 | $24.55 |
Where Nevada sits
The same service costs 2.8 times more in Hawaii 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· 21st 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.