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 $14.13 Median $17.78 Typical High $21.88 | Professional | None | $14.13 | $17.78 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $67.61 | Facility | None | $20.42 | $33.88 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $27.54 | Professional | None | $11.75 | $16.22 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $43.65 Typical High $134.90 | Facility | None | $14.79 | $43.65 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $25.12 Typical High $43.65 | Professional | None | $15.49 | $25.12 | $43.65 |
ConnectiCare Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $37.15 | Professional | None | $12.88 | $19.05 | $37.15 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $47.86 | Professional | None | $12.59 | $16.22 | $47.86 |
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 $8.91 Median $8.91 Typical High $9.55 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.80 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.80 |
Where Connecticut sits
The same service costs 4.0 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· 38th of 51
$20.42
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.