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 $12.02 Median $20.89 Typical High $20.89 | Professional | None | $12.02 | $20.89 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $31.62 Typical High $56.23 | Facility | None | $23.44 | $31.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $32.36 | Professional | None | $11.22 | $13.80 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $83.18 | Facility | None | $15.14 | $36.31 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $37.15 | Professional | None | $15.14 | $23.99 | $37.15 |
ConnectiCare Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $33.88 | Professional | None | $13.49 | $18.20 | $33.88 |
Health New England Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $309.03 | Facility | None | $104.71 | $128.82 | $309.03 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $39.81 | Professional | None | $10.00 | $15.85 | $39.81 |
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 $9.33 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $9.33 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $4.17 | $4.17 |
Where Connecticut sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 31st of 51
$21.38
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.