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 $3.55 Median $3.55 Typical High $16.60 | Professional | None | $3.55 | $3.55 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $15.49 Typical High $47.86 | Facility | None | $4.57 | $15.49 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $10.47 Typical High $14.79 | Professional | None | $5.50 | $10.47 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $20.42 Typical High $74.13 | Facility | None | $5.37 | $20.42 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $13.49 Typical High $30.20 | Professional | None | $3.80 | $13.49 | $30.20 |
ConnectiCare Setting Professional Modifier None Typical Low $5.50 Median $12.02 Typical High $26.92 | Professional | None | $5.50 | $12.02 | $26.92 |
United Setting Professional Modifier None Typical Low $3.47 Median $10.23 Typical High $35.48 | Professional | None | $3.47 | $10.23 | $35.48 |
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 $1.78 Median $1.78 Typical High $1.86 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.74 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.74 |
Where Connecticut sits
The same service costs 7.6 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· 43rd 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.