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 Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $91.20 | Professional | None | $60.26 | $85.11 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $83.18 | Professional | None | $50.12 | $66.07 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $147.91 | Professional | None | $56.23 | $83.18 | $147.91 |
United Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $147.91 | Professional | None | $63.10 | $87.10 | $147.91 |
Well Sense Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Well Sense Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
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 $30.20 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $30.20 | $42.66 | $44.67 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 20th of 51
$70.79
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.