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 $4.68 Median $4.68 Typical High $5.01 | Professional | None | $4.68 | $4.68 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $9.12 Typical High $19.05 | Facility | None | $5.37 | $9.12 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $8.13 | Professional | None | $3.39 | $4.68 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.00 Typical High $28.18 | Facility | None | $5.01 | $10.00 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $11.48 | Professional | None | $4.27 | $6.46 | $11.48 |
ConnectiCare Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $10.00 | Professional | None | $4.57 | $5.89 | $10.00 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $13.49 | Professional | None | $3.63 | $5.13 | $13.49 |
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 $2.34 Median $2.34 Typical High $2.51 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.00 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.00 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 48th of 51
$5.62
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.