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 $22.39 Median $22.39 Typical High $46.77 | Professional | None | $22.39 | $22.39 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $66.07 | Facility | None | $48.98 | $57.54 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | None | $24.55 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None | $20.89 | $20.89 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $147.91 | Professional | None | $19.50 | $26.30 | $147.91 |
United Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $34.67 | Professional | None | $17.38 | $26.30 | $34.67 |
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 KU · Bidding program group 3 + UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $39.81 | Facility | KU · Bidding program group 3 + UE · Used equipment | $33.11 | $33.11 | $39.81 |
Where New Hampshire sits
The same service costs 10.0 times more in Kansas than in New Mexico. 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· 22nd of 51
$38.90
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.