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 $3.80 Median $4.57 Typical High $7.08 | Professional | None | $3.80 | $4.57 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $7.08 Typical High $12.59 | Facility | None | $5.25 | $7.08 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $7.24 | Professional | None | $2.40 | $3.09 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $8.13 Typical High $19.50 | Facility | None | $3.39 | $8.13 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $8.32 | Professional | None | $3.47 | $5.75 | $8.32 |
ConnectiCare Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $7.59 | Professional | None | $3.02 | $4.07 | $7.59 |
Health New England Setting Facility Modifier None Typical Low $5.62 Median $20.42 Typical High $26.30 | Facility | None | $5.62 | $20.42 | $26.30 |
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 $2.14 Median $3.80 Typical High $8.91 | Professional | None | $2.14 | $3.80 | $8.91 |
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 $2.09 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $2.09 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.83 | $0.91 | $0.91 |
Where Connecticut sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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· 33rd of 51
$5.25
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.