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 $3.24 Median $3.31 Typical High $3.31 | Professional | None | $3.24 | $3.31 | $3.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.25 Typical High $9.77 | Facility | None | $3.80 | $5.25 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.40 Typical High $5.13 | Professional | None | $1.82 | $2.40 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.13 Typical High $14.45 | Facility | None | $2.57 | $5.13 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $4.07 Typical High $6.03 | Professional | None | $2.63 | $4.07 | $6.03 |
ConnectiCare Setting Professional Modifier None Typical Low $2.34 Median $3.16 Typical High $5.25 | Professional | None | $2.34 | $3.16 | $5.25 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $6.92 | Professional | None | $2.00 | $3.24 | $6.92 |
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 $1.62 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.62 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.65 | $0.66 | $0.66 |
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· 30th of 51
$3.80
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.