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 $1.58 Median $2.57 Typical High $3.63 | Professional | None | $1.58 | $2.57 | $3.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $3.98 Typical High $7.41 | Facility | None | $2.95 | $3.98 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.82 Typical High $4.07 | Professional | None | $1.48 | $1.82 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.00 Median $4.79 Typical High $10.72 | Facility | None | $2.00 | $4.79 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.09 Typical High $4.68 | Professional | None | $1.95 | $3.09 | $4.68 |
ConnectiCare Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $4.27 | Professional | None | $1.78 | $2.40 | $4.27 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.24 Typical High $5.25 | Professional | None | $1.26 | $2.24 | $5.25 |
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 $1.23 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.23 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.49 | $0.52 | $0.52 |
Where Connecticut sits
The same service costs 3.4 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· 33rd of 51
$2.95
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.