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 $9.12 Median $9.33 Typical High $12.02 | Facility | None | $9.12 | $9.33 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $13.80 | Professional | None | $9.33 | $11.75 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $15.14 | Professional | None | $10.47 | $14.79 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $22.91 | Professional | None | $11.48 | $15.14 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $18.20 | Professional | None | $9.55 | $11.22 | $18.20 |
Hometown Health Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $18.20 | Professional | None | $10.72 | $12.88 | $18.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $15.85 Typical High $22.91 | Professional | None | $0.18 | $15.85 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $4,265.80 | Facility | None | $10.47 | $15.14 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $15.14 | Professional | None | $8.91 | $10.00 | $15.14 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $19.05 | Professional | None | $10.00 | $13.49 | $19.05 |
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 25 · Same-day visit Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 25 · Same-day visit | $12.88 | $15.14 | $15.14 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 37th of 51
$12.88
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.