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 $2.88 Median $5.01 Typical High $5.01 | Professional | None | $2.88 | $5.01 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $7.59 Typical High $13.49 | Facility | None | $5.62 | $7.59 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.31 Typical High $7.76 | Professional | None | $2.69 | $3.31 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.71 Typical High $20.42 | Facility | None | $3.80 | $8.71 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $9.55 | Professional | None | $4.79 | $7.08 | $9.55 |
ConnectiCare Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $8.13 | Professional | None | $3.24 | $4.37 | $8.13 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.75 Median $5.25 Typical High $11.48 | Professional | None | $2.75 | $5.25 | $11.48 |
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 $2.24 Median $2.45 Typical High $2.45 | Professional | 52 · Reduced service | $2.24 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $0.89 | $1.00 | $1.00 |
Where Connecticut sits
The same service costs 2.9 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· 28th of 51
$5.62
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.