How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $12.59 Median $26.92 Typical High $42.66 | Facility | None | $12.59 | $26.92 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $34.67 Typical High $77.62 | Professional | None | $12.59 | $34.67 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $33.11 | Professional | None | $10.96 | $14.13 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $37.15 Typical High $47.86 | Professional | None | $10.00 | $37.15 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $42.66 Typical High $91.20 | Professional | None | $14.13 | $42.66 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.30 Median $40.74 Typical High $91.20 | Professional | None | $12.30 | $40.74 | $91.20 |
United Setting Professional Modifier None Typical Low $13.80 Median $41.69 Typical High $89.13 | Professional | None | $13.80 | $41.69 | $89.13 |
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 $6.31 Median $18.20 Typical High $21.38 | Professional | 52 · Reduced service | $6.31 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $7.24 Typical High $8.51 | Professional | 53 · Discontinued | $2.51 | $7.24 | $8.51 |
Where New Hampshire sits
The same service costs 2.5 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· 25th of 51
$37.15
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.