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 $8.13 Median $12.02 Typical High $12.02 | Professional | None | $8.13 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $39.81 | Facility | None | $13.49 | $20.89 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $18.62 | Professional | None | $7.08 | $9.77 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $21.38 Typical High $58.88 | Facility | None | $10.47 | $21.38 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $25.12 | Professional | None | $10.47 | $15.49 | $25.12 |
ConnectiCare Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $21.38 | Professional | None | $9.55 | $12.88 | $21.38 |
Health New England Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $28.18 | Professional | None | $6.61 | $10.72 | $28.18 |
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 $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.04 | $2.40 | $2.40 |
Where Connecticut sits
The same service costs 3.4 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· 33rd 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.