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 $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $64.57 | Facility | None | $24.55 | $34.67 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $33.11 | Professional | None | $11.75 | $15.85 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $33.88 Typical High $95.50 | Facility | None | $16.98 | $33.88 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $40.74 | Professional | None | $17.38 | $27.54 | $40.74 |
ConnectiCare Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $34.67 | Professional | None | $15.49 | $20.89 | $34.67 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $45.71 | Professional | None | $10.96 | $17.38 | $45.71 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 28th of 51
$24.55
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.