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 $3.31 Median $22.91 Typical High $22.91 | Professional | None | $3.31 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $35.48 | Facility | None | $13.80 | $21.88 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $22.39 | Professional | None | $10.00 | $13.49 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $33.11 Typical High $112.20 | Facility | None | $9.55 | $33.11 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $38.90 | Professional | None | $10.23 | $19.95 | $38.90 |
ConnectiCare Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $44.67 | Professional | None | $10.00 | $12.59 | $44.67 |
United Setting Professional Modifier None Typical Low $9.33 Median $21.88 Typical High $50.12 | Professional | None | $9.33 | $21.88 | $50.12 |
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 $9.77 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $9.77 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.89 | $4.57 | $4.57 |
Where Connecticut sits
The same service costs 11.2 times more in Texas 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· 48th of 51
$16.22
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.