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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $1,445.44 | Facility | None | $426.58 | $478.63 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $162.18 | Professional | None | $66.07 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,174.90 | Facility | None | $407.38 | $812.83 | $1,174.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $467.74 | Professional | None | $147.91 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $251.19 | Professional | None | $104.71 | $147.91 | $251.19 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $34.67 | $39.81 | $39.81 |
Where New Hampshire sits
The same service costs 18.6 times more in Texas than in Georgia. 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.
New Hampshire· 43rd of 51
$162
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.