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 $5.25 Median $8.71 Typical High $14.45 | Professional | None | $5.25 | $8.71 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $25.70 | Facility | None | $9.77 | $14.13 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $13.49 | Professional | None | $4.68 | $6.31 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $16.60 Typical High $39.81 | Facility | None | $6.76 | $16.60 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $11.75 Typical High $15.85 | Professional | None | $6.92 | $11.75 | $15.85 |
ConnectiCare Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $13.80 | Professional | None | $6.17 | $8.32 | $13.80 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.08 Typical High $18.62 | Professional | None | $4.37 | $7.08 | $18.62 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.70 | $1.74 | $1.74 |
Where Connecticut sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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· 34th of 51
$9.77
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.