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 $29.51 Median $36.31 Typical High $38.02 | Professional | None | $29.51 | $36.31 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $107.15 | Facility | None | $41.69 | $57.54 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $70.79 | Professional | None | $22.39 | $26.30 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $81.28 Typical High $162.18 | Facility | None | $37.15 | $81.28 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $100.00 | Professional | None | $28.84 | $36.31 | $100.00 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $85.11 | Professional | None | $41.69 | $57.54 | $85.11 |
United Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $75.86 | Professional | None | $18.20 | $27.54 | $75.86 |
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 $15.49 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.17 | $7.24 | $7.24 |
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· 32nd of 51
$41.69
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.