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 $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $457.09 | Professional | None | $269.15 | $371.54 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $489.78 | Professional | None | $245.47 | $269.15 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $512.86 | Professional | None | $186.21 | $257.04 | $512.86 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $630.96 | Professional | None | $245.47 | $354.81 | $630.96 |
Well Sense Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Where New Hampshire sits
The same service costs 2.5 times more in Minnesota than in Florida. 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· 11th of 51
$331
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.