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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $134.90 | Professional | None | $74.13 | $120.23 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None | $117.49 | $138.04 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $61.66 Typical High $147.91 | Professional | None | $19.50 | $61.66 | $147.91 |
Hometown Health Setting Professional Modifier None Typical Low $0.68 Median $85.11 Typical High $181.97 | Professional | None | $0.68 | $85.11 | $181.97 |
Hometown Health Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $173.78 | Professional | None | $0.68 | $0.68 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $4,265.80 | Facility | None | $114.82 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $85.11 Typical High $147.91 | Professional | None | $19.95 | $85.11 | $147.91 |
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 $53.70 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $24.55 | $26.30 |
Where Nevada sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 27th of 51
$117
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.