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 $7.08 Median $9.33 Typical High $10.47 | Professional | None | $7.08 | $9.33 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $34.67 | Facility | None | $10.72 | $17.38 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $8.51 Typical High $15.85 | Professional | None | $6.17 | $8.51 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $18.20 Typical High $51.29 | Facility | None | $9.12 | $18.20 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $21.88 | Professional | None | $8.32 | $12.59 | $21.88 |
ConnectiCare Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $18.62 | Professional | None | $8.32 | $11.22 | $18.62 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $24.55 | Professional | None | $5.89 | $8.91 | $24.55 |
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 $4.17 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.17 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.66 | $1.86 | $1.86 |
Where Connecticut sits
The same service costs 3.4 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· 45th of 51
$10.72
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.