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 $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $52.48 | Facility | None | $19.95 | $28.18 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $26.92 | Professional | None | $9.33 | $12.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $27.54 Typical High $75.86 | Facility | None | $13.80 | $27.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $33.11 | Professional | None | $14.13 | $22.39 | $33.11 |
ConnectiCare Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $28.18 | Professional | None | $12.59 | $16.98 | $28.18 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $37.15 | Professional | None | $8.91 | $14.13 | $37.15 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
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· 29th of 51
$19.95
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.