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 $31.62 Median $57.54 Typical High $120.23 | Professional | None | $31.62 | $57.54 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $57.54 Typical High $169.82 | Professional | None | $26.30 | $57.54 | $169.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $72.44 Typical High $257.04 | Professional | 50 · Both sides | $42.66 | $72.44 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $93.33 Typical High $269.15 | Professional | None | $31.62 | $93.33 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.11 Median $95.50 Typical High $331.13 | Professional | None | $33.11 | $95.50 | $331.13 |
United Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $162.18 | Professional | None | $42.66 | $81.28 | $162.18 |
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 $15.85 Median $25.12 Typical High $45.71 | Professional | 52 · Reduced service | $15.85 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.23 Typical High $18.20 | Professional | 53 · Discontinued | $6.31 | $10.23 | $18.20 |
Where New Hampshire sits
The same service costs 4.2 times more in Washington 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· 17th of 51
$77.62
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.