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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $31.62 | Professional | None | $10.00 | $14.45 | $31.62 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $21.38 | Facility | None | $15.14 | $15.14 | $21.38 |
Moda Health Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $15.14 | Professional | None | $13.80 | $15.14 | $15.14 |
Premera BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $27.54 | Facility | None | $19.50 | $19.50 | $27.54 |
Providence Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $79.43 | Professional | None | $11.75 | $14.79 | $79.43 |
United Setting Professional Modifier None Typical Low $38.02 Median $87.10 Typical High $177.83 | Professional | None | $38.02 | $87.10 | $177.83 |
4 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 HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HO · Master's level | $16.60 | $16.60 | $18.62 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HP · Doctoral level | $16.60 | $16.60 | $18.62 |
Where Alaska sits
The same service costs 4.5 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· 28th of 51
$15.14
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.