How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $97.72 Median $104.71 Typical High $104.71 | Professional | None | $97.72 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | None | $114.82 | $114.82 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $281.84 | Professional | None | $123.03 | $151.36 | $281.84 |
United Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $281.84 | Professional | None | $114.82 | $151.36 | $281.84 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 54 · Surgery only + HN · Bachelor's level Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 54 · Surgery only + HN · Bachelor's level | $69.18 | $69.18 | $69.18 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 19th of 51
$126
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.