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 $12.88 Median $28.18 Typical High $75.86 | Facility | None | $12.88 | $28.18 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $40.74 Typical High $64.57 | Professional | None | $12.88 | $40.74 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $30.90 | Professional | None | $10.23 | $16.22 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $66.07 | Professional | None | $10.00 | $13.18 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $57.54 Typical High $117.49 | Professional | None | $13.18 | $57.54 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $44.67 Typical High $123.03 | Professional | None | $13.18 | $44.67 | $123.03 |
United Setting Professional Modifier None Typical Low $14.45 Median $44.67 Typical High $112.20 | Professional | None | $14.45 | $44.67 | $112.20 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.39 Typical High $10.96 | Professional | 53 · Discontinued | $2.51 | $3.39 | $10.96 |
Where New Hampshire sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 38th of 51
$27.54
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.