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 $79.43 Median $107.15 Typical High $223.87 | Facility | None | $79.43 | $107.15 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | None | $79.43 | $91.20 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $104.71 | Professional | None | $77.62 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $120.23 | Professional | None | $67.61 | $70.79 | $120.23 |
Community Health Options Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $117.49 | Professional | None | $83.18 | $89.13 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $144.54 | Facility | None | $79.43 | $87.10 | $144.54 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $107.15 | Professional | None | $79.43 | $91.20 | $107.15 |
United Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $117.49 | Professional | None | $83.18 | $89.13 | $117.49 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier HO · Master's level Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | HO · Master's level | $93.33 | $93.33 | $100.00 |
Where Maine sits
The same service costs 1.7 times more in Alaska than in Ohio. 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.
Maine· 37th of 51
$89.13
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.