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 $8.71 Median $8.71 Typical High $16.98 | Facility | None | $8.71 | $8.71 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $16.22 Typical High $22.91 | Professional | None | $8.71 | $16.22 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $19.05 Typical High $23.44 | Professional | None | $8.13 | $19.05 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.71 Median $20.42 Typical High $39.81 | Professional | None | $8.71 | $20.42 | $39.81 |
United Setting Professional Modifier None Typical Low $10.47 Median $20.42 Typical High $37.15 | Professional | None | $10.47 | $20.42 | $37.15 |
3 more rates 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 $4.37 Median $5.62 Typical High $8.51 | Professional | 52 · Reduced service | $4.37 | $5.62 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | 59 · Distinct service | $21.38 | $25.12 | $25.12 |
Well Sense Setting Facility Modifier 54 · Surgery only + HN · Bachelor's level Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 54 · Surgery only + HN · Bachelor's level | $12.02 | $12.02 | $12.02 |
Where New Hampshire sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 15th of 51
$16.98
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.