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 Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $69.18 | Professional | None | $56.23 | $56.23 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $141.25 | Facility | None | $57.54 | $64.57 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $302.00 Typical High $457.09 | Facility | None | $9.33 | $302.00 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $72.44 Typical High $269.15 | Professional | None | $39.81 | $72.44 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $117.49 | Professional | None | $60.26 | $77.62 | $117.49 |
United Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $93.33 | Professional | None | $44.67 | $64.57 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,365.16 | Facility | None | $3,630.78 | $3,630.78 | $4,365.16 |
2 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 $28.18 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $11.22 | $13.80 |
Where New Hampshire sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 26th of 51
$61.66
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.