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 $44.67 Median $66.07 Typical High $134.90 | Professional | None | $44.67 | $66.07 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $138.04 | Facility | None | $44.67 | $74.13 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $40.74 | Professional | None | $22.39 | $31.62 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $89.13 Typical High $204.17 | Facility | None | $36.31 | $89.13 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $97.72 | Professional | None | $37.15 | $64.57 | $97.72 |
ConnectiCare Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $74.13 | Professional | None | $26.30 | $38.90 | $74.13 |
United Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $97.72 | Professional | None | $23.44 | $36.31 | $97.72 |
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 $67.61 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $67.61 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $26.92 | $56.23 | $56.23 |
Where Connecticut sits
The same service costs 4.8 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· 46th of 51
$40.74
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.