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 $10.72 Median $12.88 Typical High $13.80 | Professional | None | $10.72 | $12.88 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $22.39 Typical High $41.69 | Facility | None | $14.79 | $22.39 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $21.38 | Professional | None | $7.24 | $10.23 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $24.55 Typical High $60.26 | Facility | None | $11.22 | $24.55 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $26.30 | Professional | None | $10.96 | $14.79 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $22.39 | Professional | None | $10.00 | $13.49 | $22.39 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.22 Typical High $29.51 | Professional | None | $7.08 | $11.22 | $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 $6.46 Median $6.46 Typical High $6.92 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.75 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.75 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$14.79
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.