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 $14.79 Median $30.90 Typical High $30.90 | Professional | None | $14.79 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $32.36 Typical High $66.07 | Facility | None | $19.50 | $32.36 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $40.74 | Professional | None | $12.02 | $16.22 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.90 Typical High $97.72 | Facility | None | $17.38 | $38.90 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $54.95 | Professional | None | $15.14 | $23.44 | $54.95 |
ConnectiCare Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $48.98 | Professional | None | $22.91 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $14.45 Median $26.92 Typical High $74.13 | Professional | None | $14.45 | $26.92 | $74.13 |
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 $7.41 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $7.41 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $2.95 | $6.31 | $6.31 |
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
$26.92
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.