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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $213.80 | Professional | None | $144.54 | $147.91 | $213.80 |
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 $275.42 Median $331.13 Typical High $794.33 | Professional | None | $275.42 | $331.13 | $794.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $707.95 | Professional | None | $190.55 | $309.03 | $707.95 |
United Setting Professional Modifier None Typical Low $223.87 Median $630.96 Typical High $1,584.89 | Professional | None | $223.87 | $630.96 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $245.47 | Facility | None | $151.36 | $177.83 | $245.47 |
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 $72.44 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $29.51 | $42.66 |
Where New Hampshire sits
The same service costs 4.2 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
$589
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.