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 $16.22 Median $19.05 Typical High $19.05 | Professional | None | $16.22 | $19.05 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $28.84 Typical High $48.98 | Facility | None | $21.38 | $28.84 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $29.51 | Professional | None | $9.77 | $11.75 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $27.54 Typical High $72.44 | Facility | None | $13.49 | $27.54 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $20.42 Typical High $34.67 | Professional | None | $13.18 | $20.42 | $34.67 |
ConnectiCare Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $46.77 | Professional | None | $11.48 | $15.85 | $46.77 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $40.74 | Professional | None | $9.77 | $18.20 | $40.74 |
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 $8.13 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.80 | $3.80 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 24th of 51
$19.50
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.