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 $15.85 Median $33.11 Typical High $107.15 | Facility | None | $15.85 | $33.11 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | None | $15.85 | $15.85 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $37.15 | Professional | None | $10.00 | $10.00 | $37.15 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $19.95 | Professional | None | $0.20 | $0.20 | $19.95 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $42.66 | Professional | None | $15.85 | $20.42 | $42.66 |
United Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $41.69 | Professional | None | $19.05 | $30.20 | $41.69 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
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 UD · State-defined Typical Low $24.55 Median $25.12 Typical High $25.70 | Professional | UD · State-defined | $24.55 | $25.12 | $25.70 |
Where Nevada 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.
Nevada· 23rd of 51
$15.85
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.