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 $11.22 Median $19.05 Typical High $19.05 | Professional | None | $11.22 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $52.48 | Facility | None | $21.88 | $28.84 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $29.51 | Professional | None | $10.47 | $12.59 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $75.86 | Facility | None | $13.80 | $33.88 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $33.88 | Professional | None | $14.13 | $21.88 | $33.88 |
ConnectiCare Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $30.90 | Professional | None | $12.30 | $16.98 | $30.90 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $37.15 | Professional | None | $10.47 | $15.49 | $37.15 |
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 $8.51 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $8.51 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.80 | $3.80 |
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· 33rd of 51
$19.50
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.