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 $14.13 Median $29.51 Typical High $95.50 | Facility | None | $14.13 | $29.51 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $25.12 | Professional | None | $12.02 | $14.79 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $20.42 Typical High $25.12 | Facility | None | $15.14 | $20.42 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | None | $8.91 | $8.91 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $64.57 | Facility | None | $19.05 | $20.89 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $25.70 | Professional | None | $11.22 | $12.30 | $25.70 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $17.78 Typical High $29.51 | Professional | None | $4.47 | $17.78 | $29.51 |
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 $17.78 Median $17.78 Typical High $4,265.80 | Facility | None | $17.78 | $17.78 | $4,265.80 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $23.44 | Professional | None | $7.59 | $12.59 | $23.44 |
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 $10.96 Median $10.96 Typical High $10.96 | Professional | 59 · Distinct service | $10.96 | $10.96 | $10.96 |
Where Nevada sits
The same service costs 3.3 times more in Alaska than in Georgia. 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
$17.78
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.