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 $5.50 Median $5.50 Typical High $58.88 | Facility | None | $5.50 | $5.50 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $34.67 Typical High $74.13 | Professional | None | $5.50 | $34.67 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $61.66 Typical High $87.10 | Professional | None | $5.01 | $61.66 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.17 Median $21.88 Typical High $154.88 | Professional | None | $6.17 | $21.88 | $154.88 |
United Setting Professional Modifier None Typical Low $6.31 Median $19.50 Typical High $120.23 | Professional | None | $6.31 | $19.50 | $120.23 |
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 53 · Discontinued Typical Low $1.10 Median $6.92 Typical High $11.75 | Professional | 53 · Discontinued | $1.10 | $6.92 | $11.75 |
Where New Hampshire sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 26th of 51
$53.70
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.