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 $22.39 Median $54.95 Typical High $72.44 | Professional | None | $22.39 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $97.72 | Professional | None | $18.20 | $34.67 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $77.62 Typical High $169.82 | Professional | None | $23.44 | $77.62 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.42 Median $74.13 Typical High $186.21 | Professional | None | $20.42 | $74.13 | $186.21 |
United Setting Professional Modifier None Typical Low $28.84 Median $74.13 Typical High $169.82 | Professional | None | $28.84 | $74.13 | $169.82 |
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 $11.22 Median $27.54 Typical High $36.31 | Professional | 52 · Reduced service | $11.22 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $10.96 Typical High $14.45 | Professional | 53 · Discontinued | $4.47 | $10.96 | $14.45 |
Where New Hampshire sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 38th of 51
$58.88
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.