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 $42.66 Median $52.48 Typical High $57.54 | Professional | None | $42.66 | $52.48 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $144.54 | Facility | None | $60.26 | $79.43 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $81.28 | Professional | None | $27.54 | $34.67 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
ConnectiCare Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $85.11 | Professional | None | $33.88 | $46.77 | $85.11 |
United Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $102.33 | Professional | None | $28.84 | $43.65 | $102.33 |
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 $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $10.47 | $10.47 |
Where Connecticut sits
The same service costs 3.5 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· 30th of 51
$53.70
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.