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 $6.61 Median $11.22 Typical High $11.22 | Professional | None | $6.61 | $11.22 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $17.38 Typical High $30.90 | Facility | None | $12.88 | $17.38 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $17.78 | Professional | None | $6.17 | $7.59 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $19.95 Typical High $45.71 | Facility | None | $8.32 | $19.95 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $20.42 | Professional | None | $8.32 | $12.88 | $20.42 |
ConnectiCare Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $18.62 | Professional | None | $7.41 | $10.00 | $18.62 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $21.88 | Professional | None | $5.25 | $8.71 | $21.88 |
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 $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.13 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.04 | $2.29 | $2.29 |
Where Connecticut sits
The same service costs 3.5 times more in South Carolina 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· 31st of 51
$11.75
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.