How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $134.90 Median $2,238.72 Typical High $5,011.87 | Facility | None | $134.90 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $107.15 Typical High $134.90 | Professional | None | $38.90 | $107.15 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | None | $29.51 | $29.51 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $12,589.25 | Facility | None | $3,235.94 | $6,760.83 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $102.33 Typical High $208.93 | Professional | None | $35.48 | $102.33 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $95.50 Typical High $186.21 | Professional | None | $35.48 | $95.50 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $30.20 Median $89.13 Typical High $173.78 | Professional | None | $30.20 | $89.13 | $173.78 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $44.67 Typical High $173.78 | Professional | None | $1.51 | $44.67 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $114.82 Typical High $4,265.80 | Facility | None | $30.20 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | None | $22.91 | $22.91 | $30.20 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $10,000.00 | Facility | None | $251.19 | $1,412.54 | $10,000.00 |
United Setting Professional Modifier None Typical Low $38.90 Median $114.82 Typical High $177.83 | Professional | None | $38.90 | $114.82 | $177.83 |
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 50 · Both sides Typical Low $51.29 Median $151.36 Typical High $199.53 | Professional | 50 · Both sides | $51.29 | $151.36 | $199.53 |
Where Nevada sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 36th of 51
$112
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.