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 $8.71 Median $13.49 Typical High $15.14 | Professional | None | $8.71 | $13.49 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $40.74 | Facility | None | $16.98 | $22.91 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $23.44 | Professional | None | $8.13 | $10.00 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $26.30 Typical High $60.26 | Facility | None | $10.96 | $26.30 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $26.92 | Professional | None | $11.22 | $17.38 | $26.92 |
ConnectiCare Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $24.55 | Professional | None | $9.77 | $13.18 | $24.55 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $28.84 | Professional | None | $8.32 | $14.45 | $28.84 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 31st of 51
$15.49
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.