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 $9.33 Median $9.33 Typical High $10.00 | Professional | None | $9.33 | $9.33 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $20.42 Typical High $42.66 | Facility | None | $10.72 | $20.42 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $16.22 | Professional | None | $7.41 | $10.47 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $61.66 | Facility | None | $11.22 | $20.89 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $25.12 | Professional | None | $8.51 | $12.59 | $25.12 |
ConnectiCare Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $22.91 | Professional | None | $10.23 | $12.02 | $22.91 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.47 Typical High $30.20 | Professional | None | $6.17 | $10.47 | $30.20 |
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 $4.68 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.00 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.00 |
Where Connecticut sits
The same service costs 6.3 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· 47th of 51
$12.02
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.