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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | None | $18.20 | $18.20 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $39.81 | Professional | None | $12.30 | $22.91 | $39.81 |
Moda Health Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $25.70 | Facility | None | $18.20 | $18.20 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $18.20 | Professional | None | $12.59 | $18.20 | $18.20 |
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 $26.30 Median $26.30 Typical High $38.02 | Facility | None | $26.30 | $26.30 | $38.02 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $27.54 Typical High $79.43 | Professional | None | $15.85 | $27.54 | $79.43 |
United Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $120.23 | Professional | None | $22.91 | $53.70 | $120.23 |
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 $7.08 Median $7.08 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.76 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | HO · Master's level | $8.32 | $8.32 | $9.12 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | HP · Doctoral level | $8.32 | $8.32 | $9.12 |
Where Alaska sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 32nd of 51
$18.20
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.