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 $19.05 Median $22.91 Typical High $28.84 | Professional | None | $19.05 | $22.91 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $85.11 | Facility | None | $26.30 | $42.66 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $37.15 | Professional | None | $14.79 | $20.42 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $54.95 Typical High $125.89 | Facility | None | $22.39 | $54.95 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $53.70 | Professional | None | $19.05 | $31.62 | $53.70 |
ConnectiCare Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $46.77 | Professional | None | $19.95 | $27.54 | $46.77 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $60.26 | Professional | None | $14.79 | $22.39 | $60.26 |
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 $11.48 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.90 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.90 |
Where Connecticut sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 42nd of 51
$26.30
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.