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 $30.90 Median $34.67 Typical High $42.66 | Facility | None | $30.90 | $34.67 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $42.66 | Professional | None | $30.90 | $36.31 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | None | $38.90 | $38.90 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $47.86 | Professional | None | $35.48 | $46.77 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $40.74 | Professional | None | $28.18 | $28.84 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $57.54 | Professional | None | $30.90 | $33.88 | $57.54 |
Optum Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $43.65 | Professional | None | $36.31 | $38.02 | $43.65 |
United Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $69.18 | Professional | None | $38.02 | $40.74 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $32.36 Median $38.02 Typical High $38.02 | Facility | None | $32.36 | $38.02 | $38.02 |
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 $19.95 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $8.13 | $8.13 |
Where New Hampshire sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 28th of 51
$36.31
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.