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 $23.44 Median $23.99 Typical High $26.92 | Facility | None | $23.44 | $23.99 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $26.92 | Professional | None | $23.44 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.02 Typical High $13.49 | Professional | 52 · Reduced service | $11.75 | $12.02 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $33.88 | Professional | None | $28.84 | $30.20 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $29.51 | Professional | None | $19.50 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | None | $22.39 | $27.54 | $27.54 |
Hometown Health Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $41.69 | Professional | None | $20.89 | $26.30 | $41.69 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $38.90 Typical High $51.29 | Professional | None | $0.18 | $38.90 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $4,265.80 | Facility | None | $26.30 | $33.88 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $33.88 | Professional | None | $19.95 | $21.88 | $33.88 |
United Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $34.67 | Professional | None | $23.44 | $25.70 | $34.67 |
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 $28.84 Median $28.84 Typical High $33.88 | Professional | 59 · Distinct service | $28.84 | $28.84 | $33.88 |
Where Nevada sits
The same service costs 2.7 times more in North Dakota 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· 33rd of 51
$25.12
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.