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 $37.15 Median $54.95 Typical High $67.61 | Facility | None | $37.15 | $54.95 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $67.61 | Professional | None | $37.15 | $54.95 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $61.66 | Professional | None | $26.92 | $45.71 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $104.71 | Professional | None | $41.69 | $64.57 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $74.13 | Professional | None | $33.11 | $56.23 | $74.13 |
Martin's Point Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $67.61 | Professional | None | $37.15 | $54.95 | $67.61 |
United Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $109.65 | Professional | None | $41.69 | $72.44 | $109.65 |
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 $43.65 Median $43.65 Typical High $74.13 | Professional | HO · Master's level | $43.65 | $43.65 | $74.13 |
Where Maine sits
The same service costs 2.5 times more in North Dakota 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.
Maine· 18th of 51
$53.70
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.