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 $11.75 Median $14.45 Typical High $21.38 | Professional | None | $11.75 | $14.45 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $44.67 | Facility | None | $16.60 | $23.99 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $22.39 | Professional | None | $8.91 | $10.72 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $72.44 | Facility | None | $11.75 | $25.70 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $30.90 | Professional | None | $12.02 | $19.05 | $30.90 |
ConnectiCare Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $26.30 | Professional | None | $10.47 | $14.45 | $26.30 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $31.62 | Professional | None | $7.59 | $11.48 | $31.62 |
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 $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Where Connecticut sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 30th of 51
$16.60
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.