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 (both parts) Typical Low $95.50 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $95.50 | $104.71 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $95.50 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $87.10 | $120.23 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $102.33 | $102.33 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $117.49 | $128.82 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $95.50 | $151.36 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $114.82 | $173.78 | $371.54 |
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 $46.77 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $19.95 | $21.88 |
Where New Hampshire sits
The same service costs 3.2 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· 17th of 51
$141
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.