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 $4.68 Median $4.68 Typical High $9.77 | Facility | None | $4.68 | $4.68 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.68 Typical High $19.05 | Professional | None | $4.07 | $4.68 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $13.80 Typical High $22.91 | Facility | None | $7.41 | $13.80 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $2.75 Typical High $10.00 | Professional | None | $2.34 | $2.75 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $18.62 Typical High $30.20 | Facility | None | $7.94 | $18.62 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $4.37 Typical High $17.78 | Professional | None | $2.29 | $4.37 | $17.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $15.85 | Professional | None | $4.27 | $6.46 | $15.85 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $6.31 | Professional | None | $2.57 | $4.27 | $6.31 |
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 $1.12 Median $1.12 Typical High $1.12 | Facility | 52 · Reduced service + 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Where New Hampshire sits
The same service costs 3.2 times more in Kansas than in Maryland. 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
$4.68
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.