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 $33.88 Median $35.48 Typical High $40.74 | Facility | None | $33.88 | $35.48 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $40.74 | Professional | None | $30.90 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $40.74 | Professional | None | $28.84 | $33.11 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | None | $25.70 | $38.90 | $38.90 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $43.65 Typical High $48.98 | Professional | None | $0.76 | $43.65 | $48.98 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $56.23 | Professional | None | $0.76 | $0.76 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $4,265.80 | Facility | None | $38.02 | $38.02 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $38.02 Typical High $46.77 | Professional | None | $21.88 | $38.02 | $46.77 |
United Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $43.65 | Professional | None | $33.88 | $39.81 | $43.65 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | 59 · Distinct service | $38.02 | $38.02 | $38.02 |
Where Nevada sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 34th of 51
$35.48
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.