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 $123.03 Median $131.83 Typical High $190.55 | Facility | None | $123.03 | $131.83 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | None | $123.03 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $70.79 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $316.23 | Professional | None | $186.21 | $218.78 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $229.09 | Professional | None | $117.49 | $169.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $245.47 | Professional | None | $112.20 | $141.25 | $245.47 |
Hometown Health Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $251.19 | Professional | None | $112.20 | $138.04 | $251.19 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $181.97 Typical High $331.13 | Professional | None | $1.51 | $181.97 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $4,265.80 | Facility | None | $120.23 | $218.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $218.78 | Professional | None | $100.00 | $128.82 | $218.78 |
United Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $239.88 | Professional | None | $134.90 | $169.82 | $239.88 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 25 · Same-day visit | $186.21 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | GC · Resident with teaching physician | $218.78 | $218.78 | $218.78 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 22nd of 51
$170
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.