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 $3.80 Median $4.68 Typical High $6.92 | Professional | None | $3.80 | $4.68 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $7.08 Typical High $12.88 | Facility | None | $5.37 | $7.08 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $7.24 | Professional | None | $2.45 | $3.09 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $8.32 Typical High $19.95 | Facility | None | $3.39 | $8.32 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $9.12 | Professional | None | $4.47 | $6.61 | $9.12 |
ConnectiCare Setting Professional Modifier None Typical Low $3.09 Median $4.17 Typical High $7.59 | Professional | None | $3.09 | $4.17 | $7.59 |
Health New England Setting Facility Modifier None Typical Low $5.25 Median $27.54 Typical High $38.90 | Facility | None | $5.25 | $27.54 | $38.90 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.62 Typical High $9.12 | Professional | None | $3.09 | $5.62 | $9.12 |
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 $2.09 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.09 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.83 | $0.93 | $0.93 |
Where Connecticut sits
The same service costs 12.6 times more in Minnesota than in Washington, DC. 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
$5.37
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.