How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.11 Median $37.15 Typical High $112.20 | Facility | None | $33.11 | $37.15 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $112.20 | Professional | None | $33.11 | $51.29 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $25.12 Typical High $56.23 | Professional | 52 · Reduced service | $16.60 | $25.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.23 Typical High $22.39 | Professional | 53 · Discontinued | $6.76 | $10.23 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $141.25 | Professional | None | $31.62 | $69.18 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $151.36 | Professional | None | $26.92 | $53.70 | $151.36 |
Hometown Health Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $194.98 | Professional | None | $28.18 | $47.86 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $39.81 Typical High $199.53 | Professional | None | $1.00 | $39.81 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $131.83 Typical High $4,265.80 | Facility | None | $26.30 | $131.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | None | $20.42 | $20.42 | $26.30 |
United Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $144.54 | Professional | None | $32.36 | $63.10 | $144.54 |
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 $41.69 Median $64.57 Typical High $204.17 | Professional | 50 · Both sides | $41.69 | $64.57 | $204.17 |
Where Nevada sits
The same service costs 4.2 times more in Washington 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· 40th of 51
$60.26
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.