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 $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $40.74 Typical High $102.33 | Facility | None | $19.05 | $40.74 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $32.36 | Professional | None | $17.78 | $25.70 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $43.65 Typical High $158.49 | Facility | None | $21.38 | $43.65 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $64.57 | Professional | None | $14.79 | $29.51 | $64.57 |
ConnectiCare Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $58.88 | Professional | None | $20.89 | $25.70 | $58.88 |
United Setting Professional Modifier None Typical Low $12.59 Median $26.30 Typical High $77.62 | Professional | None | $12.59 | $26.30 | $77.62 |
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 $8.13 Median $8.13 Typical High $8.71 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.47 |
Where Connecticut sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 45th of 51
$26.30
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.