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 $10.00 Median $12.30 Typical High $19.05 | Professional | None | $10.00 | $12.30 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $19.05 Typical High $33.88 | Facility | None | $14.13 | $19.05 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $19.50 | Professional | None | $6.76 | $8.13 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $21.88 Typical High $50.12 | Facility | None | $8.91 | $21.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $21.88 | Professional | None | $9.12 | $14.45 | $21.88 |
ConnectiCare Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $19.95 | Professional | None | $8.13 | $13.80 | $19.95 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $23.99 | Professional | None | $5.75 | $10.23 | $23.99 |
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 $5.37 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $5.37 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.14 | $2.45 | $2.45 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$13.49
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.