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 $5.01 Median $8.51 Typical High $11.22 | Professional | None | $5.01 | $8.51 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $12.88 Typical High $23.44 | Facility | None | $9.77 | $12.88 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $13.18 | Professional | None | $4.47 | $5.62 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $15.14 Typical High $34.67 | Facility | None | $6.17 | $15.14 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $8.32 Typical High $15.14 | Professional | None | $6.31 | $8.32 | $15.14 |
ConnectiCare Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $13.80 | Professional | None | $4.47 | $6.61 | $13.80 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $16.60 | Professional | None | $3.98 | $6.61 | $16.60 |
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 $3.80 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $3.80 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.51 | $1.70 | $1.70 |
Where Connecticut sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 34th of 51
$8.51
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.