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 $67.61 Median $67.61 Typical High $74.13 | Facility | None | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | None | $67.61 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None | $70.79 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $125.89 | Professional | None | $47.86 | $52.48 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $77.62 | Professional | None | $57.54 | $60.26 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | None | $67.61 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $75.86 | Professional | None | $57.54 | $60.26 | $75.86 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier HO · Master's level Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | HO · Master's level | $50.12 | $50.12 | $61.66 |
Where Maine sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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.
Maine· 19th of 51
$70.79
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.