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 $16.22 Median $28.84 Typical High $93.33 | Facility | None | $16.22 | $28.84 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $23.99 | Professional | None | $9.55 | $13.80 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $19.50 Typical High $23.99 | Facility | None | $14.45 | $19.50 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $12.02 | Professional | None | $6.92 | $6.92 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $63.10 | Facility | None | $18.20 | $20.42 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $24.55 | Professional | None | $9.33 | $10.00 | $24.55 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $17.38 Typical High $28.18 | Professional | None | $4.47 | $17.38 | $28.18 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Select Health Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $4,265.80 | Facility | None | $17.38 | $17.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $7.24 Median $17.38 Typical High $50.12 | Professional | None | $7.24 | $17.38 | $50.12 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 59 · Distinct service | $10.47 | $10.47 | $10.47 |
Where Nevada sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 26th of 51
$17.38
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.