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 $26.30 Median $31.62 Typical High $47.86 | Professional | None | $26.30 | $31.62 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $100.00 | Facility | None | $35.48 | $53.70 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $52.48 | Professional | None | $18.20 | $24.55 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $147.91 | Facility | None | $36.31 | $64.57 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $87.10 | Professional | None | $26.30 | $43.65 | $87.10 |
ConnectiCare Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $75.86 | Professional | None | $39.81 | $53.70 | $75.86 |
Health New England Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Health New England Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Professional | None | $40.74 | $40.74 | $81.28 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $54.95 | Professional | None | $16.98 | $24.55 | $54.95 |
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 $12.59 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 26th of 51
$39.81
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.