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 $6,760.83 Median $6,760.83 Typical High $17,378.01 | Facility | None | $6,760.83 | $6,760.83 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $17,378.01 | Professional | None | $6,760.83 | $6,760.83 | $17,378.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $21,877.62 Typical High $29,512.09 | Facility | None | $20,892.96 | $21,877.62 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $12,022.64 | Professional | None | $11,220.18 | $11,220.18 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $14,125.38 | Facility | None | $12,882.50 | $12,882.50 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Hometown Health Setting Professional Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $35,481.34 | Professional | None | $13,803.84 | $20,892.96 | $35,481.34 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $20,892.96 Typical High $20,892.96 | Facility | None | $4,265.80 | $20,892.96 | $20,892.96 |
Select Health Setting Professional Modifier None Typical Low $13,489.63 Median $19,054.61 Typical High $21,877.62 | Professional | None | $13,489.63 | $19,054.61 | $21,877.62 |
United Setting Professional Modifier None Typical Low $8,912.51 Median $14,125.38 Typical High $21,877.62 | Professional | None | $8,912.51 | $14,125.38 | $21,877.62 |
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 $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | RR · Rental | $11,220.18 | $11,220.18 | $11,220.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | UE · Used equipment | $8,511.38 | $8,511.38 | $8,511.38 |
Where Nevada sits
The same service costs 2.3 times more in Montana 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· 24th of 51
$13,183
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.