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 $9.55 Median $9.55 Typical High $10.96 | Professional | None | $9.55 | $9.55 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $20.89 Typical High $24.55 | Facility | None | $17.78 | $20.89 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | None | $14.79 | $14.79 | $15.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | RR · Rental | $1.48 | $1.48 | $1.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | UE · Used equipment | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.72 Median $26.92 Typical High $35.48 | Professional | None | $10.72 | $26.92 | $35.48 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $29.51 | Professional | None | $7.41 | $10.72 | $29.51 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | HN · Bachelor's level | $13.80 | $13.80 | $13.80 |
Where New Hampshire sits
The same service costs 3.5 times more in Florida 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· 43rd of 51
$15.49
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.