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 $6.03 Median $7.41 Typical High $10.96 | Professional | None | $6.03 | $7.41 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $11.22 Typical High $20.42 | Facility | None | $8.51 | $11.22 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $11.48 | Professional | None | $3.89 | $4.90 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.88 Typical High $30.90 | Facility | None | $5.37 | $12.88 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $14.13 | Professional | None | $7.24 | $10.47 | $14.13 |
ConnectiCare Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $12.02 | Professional | None | $4.79 | $6.61 | $12.02 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $14.45 | Professional | None | $4.07 | $6.03 | $14.45 |
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 $3.31 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.31 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.32 | $1.48 | $1.48 |
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· 26th of 51
$8.51
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.