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 $17.78 Median $17.78 Typical High $18.62 | Professional | None | $17.78 | $17.78 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $91.20 | Facility | None | $20.42 | $41.69 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $30.20 | Professional | None | $16.98 | $23.44 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $141.25 | Facility | None | $22.91 | $38.90 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $56.23 | Professional | None | $16.22 | $25.70 | $56.23 |
ConnectiCare Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $51.29 | Professional | None | $22.39 | $23.99 | $51.29 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $67.61 | Professional | None | $11.75 | $23.44 | $67.61 |
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 $8.91 Median $8.91 Typical High $9.33 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.72 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 44th of 51
$25.70
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.