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 $10.72 Median $10.72 Typical High $10.96 | Professional | None | $10.72 | $10.72 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $83.18 | Facility | None | $14.13 | $33.11 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $25.70 | Professional | None | $14.13 | $17.78 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $35.48 Typical High $125.89 | Facility | None | $14.13 | $35.48 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $23.44 Typical High $51.29 | Professional | None | $10.00 | $23.44 | $51.29 |
ConnectiCare Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $46.77 | Professional | None | $14.79 | $20.89 | $46.77 |
United Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $61.66 | Professional | None | $9.77 | $21.38 | $61.66 |
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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where Connecticut sits
The same service costs 5.6 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· 46th of 51
$19.95
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.