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 $177.83 Median $199.53 Typical High $263.03 | Professional | None | $177.83 | $199.53 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $478.63 | Professional | None | $169.82 | $295.12 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $524.81 | Professional | None | $213.80 | $331.13 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $588.84 | Professional | None | $186.21 | $316.23 | $588.84 |
United Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $549.54 | Professional | None | $199.53 | $302.00 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | None | $134.90 | $134.90 | $186.21 |
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 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $95.50 | $131.83 |
Where New Hampshire sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$295
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.