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 $10.23 Median $12.02 Typical High $12.02 | Professional | None | $10.23 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $37.15 | Facility | None | $13.49 | $19.95 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $19.05 | Professional | None | $6.46 | $8.91 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $19.50 Typical High $53.70 | Facility | None | $9.77 | $19.50 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $22.91 | Professional | None | $10.00 | $15.49 | $22.91 |
ConnectiCare Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $19.95 | Professional | None | $8.91 | $12.02 | $19.95 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $26.30 | Professional | None | $6.31 | $10.00 | $26.30 |
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 3.2 times more in Alaska than in New Jersey. 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· 29th 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.