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 $3.80 Median $6.17 Typical High $8.91 | Professional | None | $3.80 | $6.17 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $10.00 Typical High $18.62 | Facility | None | $7.08 | $10.00 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $9.77 | Professional | None | $3.39 | $4.47 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $11.22 Typical High $27.54 | Facility | None | $4.90 | $11.22 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $11.48 | Professional | None | $5.01 | $6.61 | $11.48 |
ConnectiCare Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $10.00 | Professional | None | $4.37 | $6.03 | $10.00 |
Health New England Setting Facility Modifier None Typical Low $18.62 Median $38.90 Typical High $74.13 | Facility | None | $18.62 | $38.90 | $74.13 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.03 Typical High $13.18 | Professional | None | $3.72 | $6.03 | $13.18 |
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 $3.02 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $3.02 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.23 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 35th of 51
$7.08
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.