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 $15.85 Median $15.85 Typical High $18.20 | Facility | None | $15.85 | $15.85 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $29.51 | Professional | None | $12.30 | $15.85 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $20.42 | Professional | None | $13.18 | $18.20 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $28.84 | Professional | None | $10.00 | $15.49 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $29.51 | Professional | None | $12.88 | $16.98 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $33.11 | Professional | None | $11.75 | $17.78 | $33.11 |
Optum Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $32.36 | Professional | None | $12.30 | $17.78 | $32.36 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Well Sense Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | None | $8.91 | $8.91 | $10.00 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | 25 · Same-day visit | $17.38 | $17.38 | $21.38 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 16th of 51
$16.98
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.