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 $46.77 Median $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $177.83 Typical High $446.68 | Facility | None | $61.66 | $177.83 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $138.04 | Professional | None | $74.13 | $97.72 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $190.55 Typical High $676.08 | Facility | None | $61.66 | $190.55 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $125.89 Typical High $275.42 | Professional | None | $42.66 | $125.89 | $275.42 |
ConnectiCare Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $251.19 | Professional | None | $64.57 | $112.20 | $251.19 |
United Setting Professional Modifier None Typical Low $36.31 Median $107.15 Typical High $331.13 | Professional | None | $36.31 | $107.15 | $331.13 |
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 $23.44 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $23.44 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.00 |
Where Connecticut sits
The same service costs 11.2 times more in Alaska than in Alabama. 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· 42nd of 51
$100
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.