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 $5.37 Median $5.37 Typical High $10.23 | Professional | None | $5.37 | $5.37 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $13.49 Typical High $33.11 | Facility | None | $6.31 | $13.49 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $10.23 | Professional | None | $6.03 | $8.32 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $14.13 Typical High $51.29 | Facility | None | $7.08 | $14.13 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $20.42 | Professional | None | $5.01 | $9.33 | $20.42 |
ConnectiCare Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $18.62 | Professional | None | $6.76 | $8.32 | $18.62 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.51 Typical High $24.55 | Professional | None | $4.90 | $8.51 | $24.55 |
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 $2.69 Median $2.69 Typical High $2.88 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.12 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.12 |
Where Connecticut sits
The same service costs 4.9 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· 48th of 51
$8.51
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.