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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | None | $30.90 | $32.36 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $79.43 | Professional | None | $26.92 | $36.31 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $95.50 | Professional | None | $34.67 | $44.67 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $85.11 | Professional | None | $29.51 | $44.67 | $85.11 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $112.20 | Professional | None | $36.31 | $52.48 | $112.20 |
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 $15.49 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.46 | $6.92 |
Where New Hampshire sits
The same service costs 3.0 times more in Alaska than in New York. 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· 27th of 51
$38.02
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.