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 $2.14 Median $2.14 Typical High $5.89 | Professional | None | $2.14 | $2.14 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.75 Median $6.46 Typical High $16.22 | Facility | None | $2.75 | $6.46 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $5.13 | Professional | None | $2.82 | $3.55 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $7.08 Typical High $25.12 | Facility | None | $3.02 | $7.08 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.31 Typical High $10.96 | Professional | None | $2.88 | $6.31 | $10.96 |
ConnectiCare Setting Professional Modifier None Typical Low $2.88 Median $4.17 Typical High $9.12 | Professional | None | $2.88 | $4.17 | $9.12 |
United Setting Professional Modifier None Typical Low $2.04 Median $4.79 Typical High $12.30 | Professional | None | $2.04 | $4.79 | $12.30 |
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 $1.07 Median $1.07 Typical High $1.12 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.45 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.45 |
Where Connecticut sits
The same service costs 5.4 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· 50th of 51
$4.17
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.