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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | None | $19.05 | $19.05 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $112.20 | Professional | None | $20.89 | $28.84 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $26.92 | Facility | None | $19.05 | $19.05 | $26.92 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | None | $19.05 | $19.05 | $21.88 |
Premera BCBS Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $40.74 | Facility | None | $28.84 | $28.84 | $40.74 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $79.43 | Professional | None | $25.70 | $29.51 | $79.43 |
United Setting Professional Modifier None Typical Low $54.95 Median $128.82 Typical High $257.04 | Professional | None | $54.95 | $128.82 | $257.04 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HO · Master's level | $30.20 | $30.20 | $33.11 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HP · Doctoral level | $30.20 | $30.20 | $33.11 |
Where Alaska sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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.
Alaska· 47th of 51
$19.05
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.