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 $7.76 Median $16.60 Typical High $16.60 | Professional | None | $7.76 | $16.60 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $32.36 | Facility | None | $10.47 | $16.22 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $19.50 | Professional | None | $5.89 | $7.76 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.89 Typical High $47.86 | Facility | None | $9.33 | $20.89 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $11.75 Typical High $26.92 | Professional | None | $7.76 | $11.75 | $26.92 |
ConnectiCare Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $23.99 | Professional | None | $12.88 | $17.38 | $23.99 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $36.31 | Professional | None | $7.76 | $14.13 | $36.31 |
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 $3.89 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $3.89 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $1.55 | $3.31 | $3.31 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$13.80
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.