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 $13.18 Median $16.60 Typical High $23.44 | Professional | None | $13.18 | $16.60 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $63.10 | Facility | None | $19.05 | $31.62 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $26.30 | Professional | None | $10.96 | $15.14 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $40.74 Typical High $93.33 | Facility | None | $13.80 | $40.74 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $44.67 | Professional | None | $16.98 | $28.18 | $44.67 |
ConnectiCare Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $37.15 | Professional | None | $12.02 | $17.78 | $37.15 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $44.67 | Professional | None | $12.59 | $18.62 | $44.67 |
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 $8.32 Median $8.32 Typical High $8.91 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.55 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska 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· 46th of 51
$19.05
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.