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 $446.68 Median $489.78 Typical High $501.19 | Professional | None | $446.68 | $489.78 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,318.26 | Professional | None | $602.56 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,778.28 | Professional | None | $562.34 | $691.83 | $1,778.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $389.05 Median $691.83 Typical High $1,230.27 | Professional | None | $389.05 | $691.83 | $1,230.27 |
United Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $912.01 | Professional | None | $316.23 | $489.78 | $912.01 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $630.96 | Facility | None | $398.11 | $467.74 | $630.96 |
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 $223.87 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $97.72 | $100.00 |
Where New Hampshire sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 8th of 51
$776
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.