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 $6.61 Median $7.76 Typical High $13.49 | Professional | None | $6.61 | $7.76 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $25.12 Typical High $63.10 | Facility | None | $10.00 | $25.12 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $19.95 | Professional | None | $10.72 | $13.80 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $26.92 Typical High $97.72 | Facility | None | $10.23 | $26.92 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $18.20 Typical High $38.90 | Professional | None | $7.08 | $18.20 | $38.90 |
ConnectiCare Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $35.48 | Professional | None | $10.72 | $15.85 | $35.48 |
United Setting Professional Modifier None Typical Low $5.25 Median $16.22 Typical High $47.86 | Professional | None | $5.25 | $16.22 | $47.86 |
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 $3.31 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.31 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.32 | $1.55 | $1.55 |
Where Connecticut sits
The same service costs 5.8 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· 43rd of 51
$15.49
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.