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 $7.24 Median $8.32 Typical High $12.59 | Professional | None | $7.24 | $8.32 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $16.22 Typical High $33.88 | Facility | None | $9.55 | $16.22 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $14.45 | Professional | None | $6.76 | $8.32 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.95 Typical High $50.12 | Facility | None | $9.12 | $19.95 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $21.88 | Professional | None | $9.12 | $14.45 | $21.88 |
ConnectiCare Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $19.95 | Professional | None | $8.13 | $10.47 | $19.95 |
Health New England Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $23.99 | Professional | None | $5.75 | $9.12 | $23.99 |
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 $4.17 Median $4.17 Typical High $5.62 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.24 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.24 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 49th of 51
$10.47
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.