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 $15.14 Median $18.20 Typical High $18.20 | Professional | None | $15.14 | $18.20 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $50.12 | Facility | None | $20.89 | $27.54 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $34.67 | Professional | None | $10.23 | $12.02 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $79.43 | Facility | None | $18.62 | $31.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $21.38 Typical High $50.12 | Professional | None | $13.18 | $21.38 | $50.12 |
ConnectiCare Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $43.65 | Professional | None | $19.95 | $29.51 | $43.65 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $31.62 | Professional | None | $8.51 | $13.18 | $31.62 |
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 $7.59 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.63 | $3.63 |
Where Connecticut sits
The same service costs 5.5 times more in Texas 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· 28th of 51
$20.89
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.