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 $13.49 Median $22.39 Typical High $22.91 | Professional | None | $13.49 | $22.39 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $63.10 | Facility | None | $25.70 | $34.67 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $35.48 | Professional | None | $12.30 | $15.49 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $33.11 Typical High $93.33 | Facility | None | $16.98 | $33.11 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $26.92 Typical High $40.74 | Professional | None | $16.98 | $26.92 | $40.74 |
ConnectiCare Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $37.15 | Professional | None | $15.14 | $20.42 | $37.15 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $44.67 | Professional | None | $12.59 | $17.38 | $44.67 |
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 $10.23 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.23 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.17 | $4.47 | $4.47 |
Where Connecticut sits
The same service costs 3.1 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· 29th of 51
$23.44
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.