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 $15.14 Median $15.14 Typical High $15.85 | Professional | None | $15.14 | $15.14 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $56.23 Typical High $141.25 | Facility | None | $19.50 | $56.23 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $43.65 | Professional | None | $23.44 | $30.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $60.26 Typical High $213.80 | Facility | None | $19.95 | $60.26 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $39.81 Typical High $87.10 | Professional | None | $13.80 | $39.81 | $87.10 |
ConnectiCare Setting Professional Modifier None Typical Low $20.42 Median $35.48 Typical High $79.43 | Professional | None | $20.42 | $35.48 | $79.43 |
United Setting Professional Modifier None Typical Low $13.80 Median $33.88 Typical High $104.71 | Professional | None | $13.80 | $33.88 | $104.71 |
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 $7.59 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.16 |
Where Connecticut sits
The same service costs 8.7 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· 44th of 51
$32.36
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.