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 $3.47 Median $5.89 Typical High $6.03 | Professional | None | $3.47 | $5.89 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $8.91 Typical High $16.22 | Facility | None | $6.76 | $8.91 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.89 Typical High $9.12 | Professional | None | $3.24 | $3.89 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $10.47 Typical High $23.99 | Facility | None | $4.27 | $10.47 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $6.92 Typical High $10.47 | Professional | None | $4.37 | $6.92 | $10.47 |
ConnectiCare Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $9.55 | Professional | None | $3.89 | $5.25 | $9.55 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $11.48 | Professional | None | $3.24 | $5.75 | $11.48 |
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 $2.63 Median $2.95 Typical High $2.95 | Professional | 52 · Reduced service | $2.63 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.17 Typical High $1.17 | Professional | 53 · Discontinued | $1.07 | $1.17 | $1.17 |
Where Connecticut sits
The same service costs 3.0 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· 32nd of 51
$6.03
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.