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 $22.91 Median $26.92 Typical High $26.92 | Professional | None | $22.91 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $64.57 | Facility | None | $19.50 | $25.70 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | None | $11.75 | $15.85 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $38.90 Typical High $134.90 | Facility | None | $2.63 | $38.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $23.44 Typical High $45.71 | Professional | None | $9.12 | $23.44 | $45.71 |
ConnectiCare Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $52.48 | Professional | None | $6.03 | $7.59 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $11.75 Median $26.30 Typical High $54.95 | Professional | None | $11.75 | $26.30 | $54.95 |
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 $11.48 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $11.48 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.57 | $5.37 | $5.37 |
Where Connecticut sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 43rd of 51
$21.38
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.