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 $1.82 Median $1.82 Typical High $3.72 | Professional | None | $1.82 | $1.82 | $3.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $4.57 Typical High $10.72 | Facility | None | $2.34 | $4.57 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.75 Typical High $3.47 | Professional | None | $2.09 | $2.75 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $5.89 Typical High $16.60 | Facility | None | $3.02 | $5.89 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $7.41 | Professional | None | $3.09 | $4.79 | $7.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $6.76 | Professional | None | $2.29 | $3.24 | $6.76 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.95 Typical High $7.94 | Professional | None | $1.91 | $2.95 | $7.94 |
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 $0.91 Median $0.91 Typical High $1.86 | Professional | 52 · Reduced service | $0.91 | $0.91 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.74 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.74 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Connecticut. 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· 51st of 51
$2.95
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.