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 $67.61 Median $77.62 Typical High $112.20 | Professional | None | $67.61 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $467.74 | Professional | None | $162.18 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $407.38 | Professional | None | $158.49 | $245.47 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $323.59 | Facility | None | $199.53 | $234.42 | $323.59 |
2 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 $33.88 Median $38.90 Typical High $56.23 | Professional | 52 · Reduced service | $33.88 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.49 Typical High $22.39 | Professional | 53 · Discontinued | $13.49 | $15.49 | $22.39 |
Where New Hampshire sits
The same service costs 4.9 times more in Nebraska than in Florida. 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
$162
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.