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 $17.38 Median $21.88 Typical High $35.48 | Professional | None | $17.38 | $21.88 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $81.28 | Facility | None | $24.55 | $40.74 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $33.11 | Professional | None | $14.13 | $19.50 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $42.66 Typical High $120.23 | Facility | None | $21.38 | $42.66 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $29.51 Typical High $50.12 | Professional | None | $18.20 | $29.51 | $50.12 |
ConnectiCare Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $43.65 | Professional | None | $19.50 | $26.30 | $43.65 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $57.54 | Professional | None | $15.14 | $19.50 | $57.54 |
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 $10.72 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.37 | $4.37 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 44th of 51
$25.12
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.