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 $8.71 Median $14.79 Typical High $19.50 | Professional | None | $8.71 | $14.79 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $22.39 Typical High $39.81 | Facility | None | $16.60 | $22.39 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $22.91 | Professional | None | $7.94 | $9.77 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $25.70 Typical High $60.26 | Facility | None | $10.72 | $25.70 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $26.30 | Professional | None | $10.96 | $16.98 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $23.99 | Professional | None | $9.55 | $12.88 | $23.99 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $28.84 | Professional | None | $8.13 | $14.13 | $28.84 |
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 $6.61 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $6.61 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.63 | $2.95 | $2.95 |
Where Connecticut sits
The same service costs 3.6 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· 30th of 51
$15.85
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.