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 $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $50.12 | Professional | None | $30.90 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $60.26 | Professional | None | $28.18 | $32.36 | $60.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $66.07 | Professional | None | $26.92 | $33.88 | $66.07 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $66.07 | Professional | None | $26.30 | $33.88 | $66.07 |
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 $12.02 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $4.79 | $5.01 | $5.01 |
Where New Hampshire sits
The same service costs 2.6 times more in Alaska 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
$36.31
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.