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 $24.55 Median $24.55 Typical High $26.92 | Facility | None | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $33.11 | Professional | None | $20.42 | $24.55 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $39.81 | Professional | None | $23.44 | $28.84 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $31.62 | Professional | None | $13.18 | $19.50 | $31.62 |
Hometown Health Setting Professional Modifier None Typical Low $0.15 Median $24.55 Typical High $37.15 | Professional | None | $0.15 | $24.55 | $37.15 |
Hometown Health Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $35.48 | Professional | None | $0.15 | $0.15 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $4,265.80 | Facility | None | $23.44 | $23.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $3.47 Median $21.88 Typical High $30.90 | Professional | None | $3.47 | $21.88 | $30.90 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.37 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.37 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$24.55
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.