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 $8.51 Median $30.90 Typical High $57.54 | Facility | None | $8.51 | $30.90 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | None | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.79 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.95 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.95 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | None | $7.76 | $7.76 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $15.14 | Professional | None | $7.94 | $9.77 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $14.79 | Professional | None | $6.92 | $8.71 | $14.79 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $7.94 Typical High $12.88 | Professional | None | $0.23 | $7.94 | $12.88 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $12.59 | Professional | None | $0.23 | $0.23 | $12.59 |
Select Health Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $4,265.80 | Facility | None | $8.32 | $8.32 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $9.33 | Professional | None | $5.01 | $7.41 | $9.33 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $14.45 | Professional | None | $7.59 | $10.00 | $14.45 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 59 · Distinct service | $20.89 | $20.89 | $20.89 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 76 · Repeat, same provider | $7.76 | $7.76 | $7.76 |
Where Nevada sits
The same service costs 2.5 times more in Alaska 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· 43rd of 51
$8.71
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.