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 $8.51 Median $14.45 Typical High $14.79 | Professional | None | $8.51 | $14.45 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $22.39 Typical High $39.81 | Facility | None | $16.60 | $22.39 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $22.91 | Professional | None | $7.94 | $9.77 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $25.70 Typical High $58.88 | Facility | None | $10.72 | $25.70 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $26.30 | Professional | None | $10.72 | $16.60 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $23.99 | Professional | None | $9.55 | $12.88 | $23.99 |
United Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $28.18 | Professional | None | $8.13 | $11.22 | $28.18 |
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 $6.61 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.63 | $2.88 | $2.88 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Rhode Island. 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
$14.79
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.