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 $12.30 Median $13.49 Typical High $14.13 | Professional | None | $12.30 | $13.49 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $18.20 | Professional | None | $10.00 | $16.98 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $30.90 | Professional | None | $14.79 | $15.14 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $32.36 | Professional | None | $11.48 | $16.60 | $32.36 |
Optum Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | None | $12.59 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $33.11 | Professional | None | $12.59 | $17.38 | $33.11 |
Well Sense Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Well Sense Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.23 | Professional | None | $9.12 | $9.12 | $10.23 |
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 $12.59 Median $13.80 Typical High $13.80 | Professional | HO · Master's level | $12.59 | $13.80 | $13.80 |
Where New Hampshire sits
The same service costs 3.2 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· 20th of 51
$15.14
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.