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 $8.91 Median $15.14 Typical High $15.49 | Professional | None | $8.91 | $15.14 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $23.44 Typical High $41.69 | Facility | None | $17.38 | $23.44 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $23.99 | Professional | None | $8.32 | $10.23 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $26.92 Typical High $61.66 | Facility | None | $11.22 | $26.92 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $27.54 | Professional | None | $11.22 | $17.78 | $27.54 |
ConnectiCare Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $25.12 | Professional | None | $10.00 | $13.49 | $25.12 |
United Setting Professional Modifier None Typical Low $8.51 Median $14.79 Typical High $29.51 | Professional | None | $8.51 | $14.79 | $29.51 |
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 $6.92 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $6.92 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.75 | $3.02 | $3.02 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 32nd of 51
$15.85
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.