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 $4.47 Median $5.37 Typical High $8.13 | Professional | None | $4.47 | $5.37 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $8.32 Typical High $14.79 | Facility | None | $6.17 | $8.32 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $8.51 | Professional | None | $2.95 | $3.63 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $9.55 Typical High $21.38 | Facility | None | $4.17 | $9.55 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $6.17 Typical High $10.00 | Professional | None | $3.89 | $6.17 | $10.00 |
ConnectiCare Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $8.51 | Professional | None | $3.55 | $4.79 | $8.51 |
Health New England Setting Facility Modifier None Typical Low $6.17 Median $30.90 Typical High $34.67 | Facility | None | $6.17 | $30.90 | $34.67 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $15.14 | Facility | None | $2.00 | $2.00 | $15.14 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $10.47 | Professional | None | $3.02 | $4.47 | $10.47 |
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 $2.45 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $2.45 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $0.98 | $1.07 | $1.07 |
Where Connecticut sits
The same service costs 14.5 times more in Minnesota 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· 33rd 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.