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 $12.88 Median $21.88 Typical High $22.39 | Professional | None | $12.88 | $21.88 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $60.26 | Facility | None | $25.12 | $33.11 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $33.88 | Professional | None | $12.02 | $14.45 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $38.90 Typical High $89.13 | Facility | None | $15.85 | $38.90 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $38.90 | Professional | None | $16.22 | $25.12 | $38.90 |
ConnectiCare Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $35.48 | Professional | None | $14.13 | $19.50 | $35.48 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $42.66 | Professional | None | $12.02 | $17.78 | $42.66 |
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 $9.33 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.72 | $4.37 | $4.37 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 26th of 51
$22.91
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.