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 $8.13 Median $9.77 Typical High $17.38 | Professional | None | $8.13 | $9.77 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $36.31 | Facility | None | $11.22 | $17.78 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $16.60 | Professional | None | $6.31 | $8.71 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.05 Typical High $52.48 | Facility | None | $9.55 | $19.05 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $22.39 | Professional | None | $8.71 | $12.88 | $22.39 |
ConnectiCare Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $19.05 | Professional | None | $8.71 | $11.75 | $19.05 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $25.70 | Professional | None | $7.24 | $9.55 | $25.70 |
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 $4.90 Median $4.90 Typical High $5.25 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.09 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.09 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$11.22
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.