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 $18.62 Median $31.62 Typical High $32.36 | Professional | None | $18.62 | $31.62 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $48.98 Typical High $87.10 | Facility | None | $36.31 | $48.98 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $50.12 | Professional | None | $17.38 | $21.38 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $56.23 Typical High $128.82 | Facility | None | $23.44 | $56.23 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $57.54 | Professional | None | $23.44 | $37.15 | $57.54 |
ConnectiCare Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $52.48 | Professional | None | $20.89 | $28.18 | $52.48 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $61.66 | Professional | None | $14.79 | $26.30 | $61.66 |
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 $13.80 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$32.36
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.