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 $6.92 Median $14.79 Typical High $47.86 | Facility | None | $6.92 | $14.79 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.59 Typical High $12.30 | Professional | None | $6.61 | $7.59 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $10.00 Typical High $12.59 | Facility | None | $7.41 | $10.00 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.46 | Professional | None | $4.37 | $4.37 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $32.36 | Facility | None | $9.33 | $10.47 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $12.88 | Professional | None | $6.46 | $6.76 | $12.88 |
Hometown Health Setting Professional Modifier None Typical Low $3.02 Median $8.91 Typical High $14.45 | Professional | None | $3.02 | $8.91 | $14.45 |
Hometown Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Select Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $4,265.80 | Facility | None | $8.91 | $8.91 | $4,265.80 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.03 Typical High $14.13 | Professional | None | $3.72 | $6.03 | $14.13 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | 59 · Distinct service | $5.50 | $5.50 | $5.50 |
Where Nevada sits
The same service costs 4.3 times more in Kansas than in Maryland. 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· 29th of 51
$8.91
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.