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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | None | $18.62 | $18.62 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $234.42 | Facility | None | $25.70 | $34.67 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $23.44 | Professional | None | $10.47 | $15.85 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $60.26 | Facility | None | $41.69 | $46.77 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Community Health Options Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.85 Median $30.90 Typical High $52.48 | Professional | None | $15.85 | $30.90 | $52.48 |
Martin's Point Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $52.48 | Professional | None | $13.18 | $15.85 | $52.48 |
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 |
|---|---|---|---|---|---|
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Where Maine sits
The same service costs 5.6 times more in Alaska than in Delaware. 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.
Maine· 18th of 51
$32.36
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.