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 $10.23 Median $10.47 Typical High $10.47 | Professional | None | $10.23 | $10.47 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $16.98 Typical High $31.62 | Facility | None | $12.02 | $16.98 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $16.22 | Professional | None | $5.75 | $7.59 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $46.77 | Facility | None | $8.32 | $20.42 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $19.50 | Professional | None | $8.51 | $13.49 | $19.50 |
ConnectiCare Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $17.38 | Professional | None | $7.59 | $10.23 | $17.38 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $22.39 | Professional | None | $5.37 | $8.51 | $22.39 |
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 $5.13 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.09 |
Where Connecticut sits
The same service costs 3.2 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· 27th of 51
$12.02
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.