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 $25.70 Median $25.70 Typical High $27.54 | Facility | None | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $27.54 | Professional | None | $24.55 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | None | $32.36 | $33.11 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $44.67 | Professional | None | $22.39 | $29.51 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $64.57 | Professional | None | $24.55 | $36.31 | $64.57 |
United Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $63.10 | Professional | None | $28.18 | $38.90 | $63.10 |
Well Sense Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Well Sense Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.88 Typical High $13.80 | Professional | 52 · Reduced service | $12.30 | $12.88 | $13.80 |
Where New Hampshire sits
The same service costs 3.0 times more in North Carolina 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· 22nd of 51
$30.90
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.