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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $102.33 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $102.33 | $169.82 | $416.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $47.86 | $81.28 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $91.20 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $181.97 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $125.89 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $97.72 | $223.87 | $398.11 |
Well Sense Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $128.82 | Facility | None | $81.28 | $95.50 | $128.82 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | GC · Resident with teaching physician | $316.23 | $316.23 | $316.23 |
Where New Hampshire sits
The same service costs 3.5 times more in Nebraska 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· 16th of 51
$200
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.