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 $66.07 Median $70.79 Typical High $77.62 | Facility | None | $66.07 | $70.79 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $77.62 | Professional | None | $66.07 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $35.48 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | None | $74.13 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $125.89 | Professional | None | $70.79 | $87.10 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $134.90 | Professional | None | $72.44 | $91.20 | $134.90 |
Hometown Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $109.65 | Professional | None | $66.07 | $79.43 | $109.65 |
Hometown Health Setting Professional Modifier None Typical Low $0.40 Median $97.72 Typical High $128.82 | Professional | None | $0.40 | $97.72 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $4,265.80 | Facility | None | $64.57 | $87.10 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $87.10 | Professional | None | $51.29 | $61.66 | $87.10 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | None | $70.79 | $87.10 | $114.82 |
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 $54.95 Median $64.57 Typical High $64.57 | Professional | 25 · Same-day visit | $54.95 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 33 · Preventive service | $74.13 | $74.13 | $74.13 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in New York. 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· 26th of 51
$83.18
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.