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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $398.11 | $426.58 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,238.72 Typical High $4,570.88 | Facility | None | $724.44 | $2,238.72 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,548.82 Typical High $2,041.74 | Professional | None (both parts) | $954.99 | $1,548.82 | $2,041.74 |
4 more rates 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 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $302.00 | Professional | TC · Technical part | $281.84 | $295.12 | $302.00 |
Where New Hampshire sits
The same service costs 15.1 times more in Ohio than in Montana. 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· 27th of 51
$603
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.