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 $10.72 Median $10.72 Typical High $18.20 | Professional | None | $10.72 | $10.72 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $20.42 Typical High $41.69 | Facility | None | $12.30 | $20.42 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $16.98 | Professional | None | $7.24 | $10.00 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $21.88 Typical High $60.26 | Facility | None | $10.96 | $21.88 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $26.30 | Professional | None | $14.45 | $17.38 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $22.39 | Professional | None | $8.51 | $13.49 | $22.39 |
Health New England Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $29.51 | Professional | None | $8.32 | $11.22 | $29.51 |
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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where Connecticut sits
The same service costs 3.6 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· 36th of 51
$13.49
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.