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 $6.31 Median $10.72 Typical High $13.80 | Professional | None | $6.31 | $10.72 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $16.22 Typical High $28.84 | Facility | None | $12.02 | $16.22 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $16.60 | Professional | None | $5.75 | $7.08 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $18.62 Typical High $42.66 | Facility | None | $7.76 | $18.62 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $19.05 | Professional | None | $7.94 | $12.30 | $19.05 |
ConnectiCare Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $17.38 | Professional | None | $6.92 | $9.33 | $17.38 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.23 Typical High $20.89 | Professional | None | $5.89 | $10.23 | $20.89 |
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 $4.79 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $4.79 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.91 | $2.14 | $2.14 |
Where Connecticut sits
The same service costs 4.5 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· 33rd of 51
$11.22
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.