How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $11.22 Typical High $11.22 | Professional | None | $7.76 | $11.22 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $18.20 | Professional | None | $8.32 | $15.14 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $5.37 Typical High $48.98 | Facility | None | $4.07 | $5.37 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $20.42 | Professional | None | $10.96 | $13.18 | $20.42 |
ConnectiCare Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $14.79 | Professional | None | $10.00 | $11.75 | $14.79 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $19.95 | Professional | None | $7.94 | $12.02 | $19.95 |
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 $3.80 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $3.80 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $1.55 | $2.24 | $2.24 |
Where Connecticut sits
The same service costs 2.6 times more in Alaska than in New York. 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· 15th of 51
$12.88
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.