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 $457.09 Median $457.09 Typical High $676.08 | Facility | None | $457.09 | $457.09 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $707.95 | Professional | None | $436.52 | $457.09 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $812.83 | Facility | None | $489.78 | $660.69 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | None | $288.40 | $288.40 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $2,137.96 | Facility | None | $616.60 | $691.83 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $831.76 | Professional | None | $295.12 | $398.11 | $831.76 |
Hometown Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $891.25 | Professional | None | $199.53 | $199.53 | $891.25 |
Hometown Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $4,265.80 | Facility | None | $588.84 | $588.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $588.84 Typical High $870.96 | Professional | None | $245.47 | $588.84 | $870.96 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $229.09 Typical High $354.81 | Professional | 52 · Reduced service | $218.78 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $141.25 | Professional | 53 · Discontinued | $87.10 | $91.20 | $141.25 |
Where Nevada sits
The same service costs 3.2 times more in Alaska 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· 43rd of 51
$457
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.