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 $9.33 Median $12.02 Typical High $13.80 | Professional | None | $9.33 | $12.02 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $46.77 | Facility | None | $13.80 | $22.91 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $20.42 | Professional | None | $8.13 | $11.22 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $67.61 | Facility | None | $12.30 | $24.55 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $28.18 | Professional | None | $10.47 | $16.22 | $28.18 |
ConnectiCare Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $25.12 | Professional | None | $10.96 | $15.14 | $25.12 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $33.11 | Professional | None | $9.33 | $12.30 | $33.11 |
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 $6.03 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.51 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.51 |
Where Connecticut sits
The same service costs 3.6 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· 47th of 51
$13.80
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.