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 $20.42 Median $43.65 Typical High $141.25 | Facility | None | $20.42 | $43.65 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | None | $20.42 | $20.42 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $37.15 | Professional | None | $19.05 | $19.05 | $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 $23.99 Median $30.90 Typical High $42.66 | Professional | None | $23.99 | $30.90 | $42.66 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
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 GQ · Store-and-forward telehealth Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | GQ · Store-and-forward telehealth | $24.55 | $24.55 | $24.55 |
Where Nevada sits
The same service costs 3.4 times more in Wyoming 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· 21st of 51
$26.30
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.