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 $7.24 Median $11.48 Typical High $17.38 | Professional | None | $7.24 | $11.48 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $19.05 Typical High $35.48 | Facility | None | $13.18 | $19.05 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $18.62 | Professional | None | $6.31 | $8.71 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.89 Typical High $52.48 | Facility | None | $9.33 | $20.89 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $22.39 | Professional | None | $9.55 | $15.14 | $22.39 |
ConnectiCare Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $19.05 | Professional | None | $8.51 | $11.48 | $19.05 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $25.12 | Professional | None | $7.24 | $11.22 | $25.12 |
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 $5.75 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska 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
$13.18
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.