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 $6.76 Median $11.75 Typical High $15.49 | Professional | None | $6.76 | $11.75 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $17.78 Typical High $31.62 | Facility | None | $13.18 | $17.78 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $18.20 | Professional | None | $6.31 | $7.76 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $20.42 Typical High $46.77 | Facility | None | $8.51 | $20.42 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $20.89 | Professional | None | $8.51 | $13.49 | $20.89 |
ConnectiCare Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $19.05 | Professional | None | $7.59 | $10.23 | $19.05 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $22.39 | Professional | None | $5.37 | $8.91 | $22.39 |
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 $5.01 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.01 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.00 | $2.29 | $2.29 |
Where Connecticut sits
The same service costs 3.0 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
$12.02
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.