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 $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $630.96 | Facility | None | $257.04 | $288.40 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $77.62 Typical High $112.20 | Facility | None | $2.40 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $69.18 | Professional | None | $9.33 | $18.62 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $19.95 Typical High $33.11 | Professional | None | $13.18 | $19.95 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $23.99 | Professional | None | $11.48 | $16.60 | $23.99 |
Well Sense Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
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 $7.41 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.63 |
Where New Hampshire sits
The same service costs 14.8 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· 33rd of 51
$14.79
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.