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 $15.49 Median $18.20 Typical High $19.05 | Professional | None | $15.49 | $18.20 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $67.61 | Facility | None | $20.89 | $33.11 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $40.74 | Professional | None | $13.80 | $16.22 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $100.00 | Facility | None | $18.62 | $41.69 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $56.23 | Professional | None | $15.49 | $23.99 | $56.23 |
ConnectiCare Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $43.65 | Professional | None | $26.92 | $36.31 | $43.65 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $34.67 | Professional | None | $11.48 | $16.22 | $34.67 |
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 $7.76 Median $9.12 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.80 |
Where Connecticut sits
The same service costs 5.4 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· 34th of 51
$23.44
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.