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 $64.57 Median $93.33 Typical High $93.33 | Professional | None | $64.57 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $125.89 | Professional | None | $63.10 | $79.43 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $165.96 | Professional | None | $79.43 | $85.11 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $173.78 | Professional | None | $69.18 | $100.00 | $173.78 |
United Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | None | $77.62 | $100.00 | $165.96 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $2,511.89 | Professional | None | $52.48 | $52.48 | $2,511.89 |
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 $32.36 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $46.77 | $46.77 |
Where New Hampshire sits
The same service costs 3.0 times more in Alaska than in New York. 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· 15th of 51
$93.33
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.