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 $2.14 Median $3.24 Typical High $3.39 | Professional | None | $2.14 | $3.24 | $3.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $5.50 Typical High $10.47 | Facility | None | $3.63 | $5.50 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.57 Typical High $5.13 | Professional | None | $1.86 | $2.57 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $6.76 Typical High $15.49 | Facility | None | $2.75 | $6.76 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $5.01 Typical High $7.08 | Professional | None | $3.89 | $5.01 | $7.08 |
ConnectiCare Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $5.75 | Professional | None | $2.51 | $3.47 | $5.75 |
Health New England Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $10.47 | Facility | None | $1.12 | $1.12 | $10.47 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.47 Typical High $7.41 | Professional | None | $2.45 | $4.47 | $7.41 |
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 $1.58 Median $1.58 Typical High $1.70 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.68 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 40th of 51
$3.98
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.