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 $8.32 Median $9.77 Typical High $9.77 | Professional | None | $8.32 | $9.77 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $26.30 | Facility | None | $10.96 | $14.79 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $15.14 | Professional | None | $5.25 | $6.46 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $16.98 Typical High $39.81 | Facility | None | $7.08 | $16.98 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $17.38 | Professional | None | $7.24 | $11.22 | $17.38 |
ConnectiCare Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $15.85 | Professional | None | $6.31 | $8.51 | $15.85 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.94 Typical High $19.05 | Professional | None | $4.47 | $7.94 | $19.05 |
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 $4.17 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.17 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.66 | $1.95 | $1.95 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 28th of 51
$10.72
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.