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 $3.98 Median $3.98 Typical High $5.25 | Professional | None | $3.98 | $3.98 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $12.30 Typical High $14.45 | Facility | None | $10.47 | $12.30 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | RR · Rental | $1.17 | $1.17 | $1.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | UE · Used equipment | $8.91 | $8.91 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $20.42 | Professional | None | $5.75 | $14.45 | $20.42 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $12.59 | Professional | None | $3.98 | $5.75 | $12.59 |
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 $8.13 Median $8.13 Typical High $8.13 | Facility | HN · Bachelor's level | $8.13 | $8.13 | $8.13 |
Where New Hampshire sits
The same service costs 4.6 times more in Florida 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· 7th of 51
$11.75
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.