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 $3.24 Median $3.24 Typical High $3.47 | Professional | None | $3.24 | $3.24 | $3.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $14.45 Typical High $38.02 | Facility | None | $4.27 | $14.45 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $12.02 | Professional | None | $5.13 | $8.32 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $16.22 Typical High $58.88 | Facility | None | $4.27 | $16.22 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $10.96 Typical High $23.44 | Professional | None | $2.95 | $10.96 | $23.44 |
ConnectiCare Setting Professional Modifier None Typical Low $4.47 Median $9.55 Typical High $21.38 | Professional | None | $4.47 | $9.55 | $21.38 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.95 Median $8.13 Typical High $28.84 | Professional | None | $2.95 | $8.13 | $28.84 |
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 $1.62 Median $1.62 Typical High $1.74 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.69 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.69 |
Where Connecticut sits
The same service costs 8.9 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· 42nd of 51
$8.32
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.