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 $25.12 Median $42.66 Typical High $63.10 | Professional | None | $25.12 | $42.66 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $117.49 | Facility | None | $41.69 | $63.10 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $41.69 | Professional | None | $21.38 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $61.66 Typical High $173.78 | Facility | None | $30.90 | $61.66 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $77.62 | Professional | None | $28.84 | $42.66 | $77.62 |
ConnectiCare Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $70.79 | Professional | None | $28.18 | $38.02 | $70.79 |
United Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $83.18 | Professional | None | $19.95 | $31.62 | $83.18 |
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 $19.50 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $8.71 | $8.71 |
Where Connecticut sits
The same service costs 5.4 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.
Connecticut· 32nd of 51
$41.69
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.