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 $1.10 Median $1.10 Typical High $1.20 | Professional | None | $1.10 | $1.10 | $1.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.82 Median $2.14 Typical High $2.45 | Facility | None | $1.82 | $2.14 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | RR · Rental | $0.16 | $0.16 | $0.16 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | UE · Used equipment | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.70 Typical High $1.70 | Professional | None | $1.17 | $1.70 | $1.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.12 Median $2.69 Typical High $4.07 | Professional | None | $1.12 | $2.69 | $4.07 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.12 Typical High $3.31 | Professional | None | $0.78 | $1.12 | $3.31 |
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 $1.41 Median $1.41 Typical High $1.41 | Facility | HN · Bachelor's level | $1.41 | $1.41 | $1.41 |
Where New Hampshire sits
The same service costs 33.1 times more in Kansas 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· 46th of 51
$1.58
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.