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 $6.92 Median $11.75 Typical High $12.02 | Professional | None | $6.92 | $11.75 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $18.20 Typical High $32.36 | Facility | None | $13.49 | $18.20 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $18.62 | Professional | None | $6.46 | $7.94 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $17.38 Typical High $47.86 | Facility | None | $8.71 | $17.38 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $20.89 | Professional | None | $8.71 | $13.80 | $20.89 |
ConnectiCare Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $19.05 | Professional | None | $7.76 | $10.47 | $19.05 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $22.91 | Professional | None | $5.50 | $9.12 | $22.91 |
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 $5.13 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.13 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.04 | $2.34 | $2.34 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in New York. 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· 31st of 51
$12.30
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.