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 $6.61 Median $6.92 Typical High $9.55 | Professional | None | $6.61 | $6.92 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $15.49 Typical High $32.36 | Facility | None | $7.94 | $15.49 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $12.02 | Professional | None | $5.75 | $7.94 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $15.49 Typical High $47.86 | Facility | None | $8.51 | $15.49 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $19.05 | Professional | None | $6.31 | $9.33 | $19.05 |
ConnectiCare Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $17.38 | Professional | None | $7.76 | $9.33 | $17.38 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $22.91 | Professional | None | $4.57 | $7.94 | $22.91 |
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 $3.47 Median $3.47 Typical High $3.72 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.48 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.48 |
Where Connecticut sits
The same service costs 4.7 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· 45th of 51
$9.12
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.