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 $12.30 Median $12.30 Typical High $13.80 | Professional | None | $12.30 | $12.30 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $45.71 | Facility | None | $14.13 | $22.91 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $19.05 | Professional | None | $8.13 | $11.22 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $29.51 Typical High $93.33 | Facility | None | $10.00 | $29.51 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $29.51 | Professional | None | $10.47 | $16.98 | $29.51 |
ConnectiCare Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $25.12 | Professional | None | $8.71 | $13.18 | $25.12 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $32.36 | Professional | None | $9.33 | $12.30 | $32.36 |
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 $6.17 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.63 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 41st of 51
$14.13
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.