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 $776.25 Median $776.25 Typical High $1,995.26 | Facility | None | $776.25 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,995.26 | Professional | None | $776.25 | $776.25 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,388.44 | Facility | None | $2,454.71 | $2,511.89 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
Hometown Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $4,073.80 | Professional | None | $1,584.89 | $2,398.83 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,265.80 | Facility | None | $2,454.71 | $2,454.71 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,548.82 | $2,187.76 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,659.59 | $2,511.89 |
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 $1,318.26 Median $1,348.96 Typical High $1,348.96 | Professional | RR · Rental | $1,318.26 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | UE · Used equipment | $1,000.00 | $1,000.00 | $1,000.00 |
Where Nevada sits
The same service costs 2.5 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· 25th of 51
$1,445
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.