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 $9.33 Median $9.55 Typical High $19.05 | Facility | None | $9.33 | $9.55 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $19.05 | Professional | None | $9.33 | $12.59 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.75 Typical High $9.55 | Professional | 52 · Reduced service | $4.68 | $5.75 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | None | $15.85 | $15.85 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $15.85 Typical High $23.44 | Professional | None | $8.91 | $15.85 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | None | $15.14 | $15.14 | $15.85 |
Hometown Health Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $22.39 | Professional | None | $7.94 | $14.79 | $22.39 |
Hometown Health Setting Professional Modifier None Typical Low $0.13 Median $12.02 Typical High $28.18 | Professional | None | $0.13 | $12.02 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $7.94 Median $18.62 Typical High $4,265.80 | Facility | None | $7.94 | $18.62 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $6.76 Median $10.47 Typical High $18.62 | Professional | None | $6.76 | $10.47 | $18.62 |
United Setting Professional Modifier None Typical Low $9.33 Median $17.78 Typical High $24.55 | Professional | None | $9.33 | $17.78 | $24.55 |
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 59 · Distinct service Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 59 · Distinct service | $15.85 | $15.85 | $18.62 |
Where Nevada sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 27th of 51
$15.85
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.