How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $7.24 Median $7.24 Typical High $15.14 | Facility | None | $7.24 | $7.24 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $18.62 | Professional | None | $6.61 | $7.24 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $45.71 | Facility | None | $14.79 | $27.54 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $5.62 Typical High $11.75 | Professional | None | $3.47 | $5.62 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $35.48 Typical High $43.65 | Facility | None | $15.85 | $35.48 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $8.71 Typical High $24.55 | Professional | None | $4.57 | $8.71 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $29.51 | Professional | None | $8.71 | $12.88 | $29.51 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $10.47 | Professional | None | $5.13 | $8.71 | $10.47 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier 52 · Reduced service + 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Facility | 52 · Reduced service + 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Where New Hampshire sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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· 24th of 51
$8.91
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.