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 $61.66 Median $72.44 Typical High $72.44 | Professional | None | $61.66 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $165.96 | Facility | None | $51.29 | $79.43 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $77.62 | Professional | None | $31.62 | $41.69 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $102.33 Typical High $354.81 | Facility | None | $32.36 | $102.33 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $123.03 | Professional | None | $38.90 | $63.10 | $123.03 |
ConnectiCare Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $141.25 | Professional | None | $40.74 | $50.12 | $141.25 |
United Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $147.91 | Professional | None | $40.74 | $69.18 | $147.91 |
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 $30.90 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $12.30 | $14.45 | $14.45 |
Where Connecticut sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 38th of 51
$63.10
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.