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 $9.12 Median $83.18 Typical High $104.71 | Professional | None | $9.12 | $83.18 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $144.54 | Facility | None | $46.77 | $72.44 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $87.10 | Professional | None | $29.51 | $35.48 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $87.10 Typical High $213.80 | Facility | None | $40.74 | $87.10 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $74.13 Typical High $131.83 | Professional | None | $38.90 | $74.13 | $131.83 |
ConnectiCare Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $95.50 | Professional | None | $57.54 | $77.62 | $95.50 |
United Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $74.13 | Professional | None | $24.55 | $35.48 | $74.13 |
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 $12.30 Median $12.30 Typical High $41.69 | Professional | 52 · Reduced service | $12.30 | $12.30 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $16.60 | Professional | 53 · Discontinued | $4.90 | $4.90 | $16.60 |
Where Connecticut sits
The same service costs 3.4 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· 25th of 51
$58.88
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.