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 Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | None | $9.77 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $64.57 | Facility | None | $20.89 | $38.90 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $26.30 | Professional | None | $5.75 | $7.94 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $53.70 Typical High $83.18 | Facility | None | $22.39 | $53.70 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.75 Typical High $34.67 | Professional | None | $6.31 | $11.75 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $19.50 | Professional | None | $7.24 | $12.02 | $19.50 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $17.78 | Professional | None | $5.50 | $7.24 | $17.78 |
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 $4.90 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $4.90 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $1.95 | $2.75 | $2.75 |
Where New Hampshire sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 42nd of 51
$8.51
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.