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 $32.36 Median $35.48 Typical High $45.71 | Professional | None | $32.36 | $35.48 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $67.61 | Professional | None | $26.30 | $42.66 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $77.62 | Professional | None | $33.88 | $47.86 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $89.13 | Professional | None | $28.84 | $47.86 | $89.13 |
United Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $89.13 | Professional | None | $35.48 | $50.12 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Well Sense Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
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 $16.22 Median $17.38 Typical High $22.91 | Professional | 52 · Reduced service | $16.22 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $6.46 | $7.08 | $9.12 |
Where New Hampshire sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$42.66
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.