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 Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | None | $97.72 | $97.72 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,318.26 | Professional | None | $549.54 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $588.84 | Professional | None | $190.55 | $234.42 | $588.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $416.87 | Professional | None | $128.82 | $213.80 | $416.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $331.13 Typical High $831.76 | Professional | None | $147.91 | $331.13 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $165.96 | Facility | None | $102.33 | $120.23 | $165.96 |
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 $47.86 Median $48.98 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $48.98 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | 53 · Discontinued | $19.50 | $19.50 | $31.62 |
Where New Hampshire sits
The same service costs 5.8 times more in New Hampshire 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· 1st of 51
$550
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.