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 $15.49 Typical High $30.20 | Facility | None | $10.47 | $15.49 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $18.62 | Professional | None | $5.75 | $7.24 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $19.05 Typical High $44.67 | Facility | None | $9.33 | $19.05 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $26.30 | Professional | None | $7.76 | $10.96 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $21.88 | Professional | None | $12.02 | $15.85 | $21.88 |
Health New England Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $20.42 | Facility | None | $19.50 | $19.50 | $20.42 |
United Setting Professional Modifier None Typical Low $7.24 Median $14.13 Typical High $33.11 | Professional | None | $7.24 | $14.13 | $33.11 |
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· 23rd 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.