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 $4.68 Median $7.41 Typical High $7.59 | Professional | None | $4.68 | $7.41 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $11.75 Typical High $21.88 | Facility | None | $8.51 | $11.75 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $11.75 | Professional | None | $4.07 | $5.25 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $11.48 Typical High $32.36 | Facility | None | $5.75 | $11.48 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $13.49 | Professional | None | $5.89 | $9.33 | $13.49 |
ConnectiCare Setting Professional Modifier None Typical Low $5.25 Median $7.08 Typical High $12.02 | Professional | None | $5.25 | $7.08 | $12.02 |
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 $4.37 Median $7.08 Typical High $15.49 | Professional | None | $4.37 | $7.08 | $15.49 |
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 $3.55 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.55 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.45 | $1.48 | $1.48 |
Where Connecticut sits
The same service costs 3.5 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· 28th of 51
$8.13
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.