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 $6.31 Median $7.94 Typical High $10.96 | Professional | None | $6.31 | $7.94 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $14.79 Typical High $29.51 | Facility | None | $9.12 | $14.79 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $12.30 | Professional | None | $5.25 | $7.24 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $19.05 Typical High $44.67 | Facility | None | $6.46 | $19.05 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $13.18 Typical High $20.89 | Professional | None | $8.13 | $13.18 | $20.89 |
ConnectiCare Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $17.78 | Professional | None | $5.62 | $8.51 | $17.78 |
Health New England Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $21.38 | Professional | None | $6.03 | $7.59 | $21.38 |
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 $3.98 Median $3.98 Typical High $4.27 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.70 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.70 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 46th of 51
$9.12
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.