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 $26.92 Median $53.70 Typical High $501.19 | Professional | None | $26.92 | $53.70 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $60.26 Typical High $131.83 | Facility | None | $21.38 | $60.26 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $39.81 | Professional | None | $21.88 | $27.54 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $199.53 | Facility | None | $35.48 | $87.10 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $95.50 | Professional | None | $36.31 | $61.66 | $95.50 |
ConnectiCare Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $72.44 | Professional | None | $25.70 | $38.02 | $72.44 |
United Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $95.50 | Professional | None | $22.91 | $36.31 | $95.50 |
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 $63.10 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $63.10 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $25.12 | $100.00 | $100.00 |
Where Connecticut sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 47th of 51
$33.11
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.