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 $2.51 Median $4.27 Typical High $4.37 | Professional | None | $2.51 | $4.27 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $6.46 Typical High $11.75 | Facility | None | $4.90 | $6.46 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $2.82 Typical High $6.76 | Professional | None | $2.34 | $2.82 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $7.59 Typical High $17.78 | Facility | None | $3.09 | $7.59 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $5.13 Typical High $7.94 | Professional | None | $3.31 | $5.13 | $7.94 |
ConnectiCare Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $7.24 | Professional | None | $2.82 | $3.80 | $7.24 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $8.32 | Professional | None | $2.40 | $4.17 | $8.32 |
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 $1.95 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $1.95 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.78 | $0.85 | $0.85 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 31st of 51
$4.47
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.