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 $16.60 Median $19.95 Typical High $30.90 | Professional | None | $16.60 | $19.95 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $54.95 | Facility | None | $19.05 | $30.90 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $31.62 | Professional | None | $10.96 | $13.49 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $35.48 Typical High $112.20 | Facility | None | $14.79 | $35.48 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $61.66 | Professional | None | $25.70 | $29.51 | $61.66 |
ConnectiCare Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $57.54 | Professional | None | $13.18 | $17.78 | $57.54 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $120.23 | Facility | None | $67.61 | $79.43 | $120.23 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $38.90 | Professional | None | $11.22 | $19.50 | $38.90 |
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 $9.12 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $9.12 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.63 | $4.07 | $4.07 |
Where Connecticut sits
The same service costs 4.8 times more in Minnesota than in Alabama. 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
$22.91
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.