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 $52.48 Median $85.11 Typical High $9,772.37 | Facility | None | $52.48 | $85.11 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $138.04 | Professional | None | $52.48 | $85.11 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,548.82 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $169.82 | Professional | None | $72.44 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $162.18 | Facility | None | $89.13 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $338.84 | Professional | None | $93.33 | $165.96 | $338.84 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,691.53 | Facility | None | $660.69 | $776.25 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $380.19 | Professional | None | $95.50 | $169.82 | $380.19 |
United Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $2,691.53 | Facility | None | $660.69 | $851.14 | $2,691.53 |
United Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $316.23 | Professional | None | $109.65 | $165.96 | $316.23 |
Well Sense Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $26.30 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $10.47 | $16.98 | $16.98 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Where New Hampshire 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.
New Hampshire· 31st of 51
$132
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.