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 $16.60 Median $16.60 Typical High $20.42 | Professional | None | $16.60 | $16.60 | $20.42 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $89.13 Typical High $134.90 | Facility | None | $2.75 | $89.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $20.89 Typical High $79.43 | Professional | None | $11.22 | $20.89 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $38.02 | Professional | None | $16.98 | $22.91 | $38.02 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $27.54 | Professional | None | $13.18 | $19.05 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Facility | None | $6.46 | $6.46 | $7.59 |
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 $8.32 Median $8.32 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.07 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.07 |
Where New Hampshire sits
The same service costs 8.9 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· 36th of 51
$16.98
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.