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 $24.55 Median $30.20 Typical High $36.31 | Professional | None | $24.55 | $30.20 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $46.77 | Professional | None | $18.62 | $21.88 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $70.79 Typical High $131.83 | Facility | None | $37.15 | $70.79 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $57.54 | Professional | None | $23.44 | $26.30 | $57.54 |
ConnectiCare Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | None | $31.62 | $32.36 | $32.36 |
Health New England Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $63.10 | Professional | None | $22.91 | $30.20 | $63.10 |
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 $10.72 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $10.72 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.27 | $6.03 | $6.03 |
Where Connecticut sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 30th of 51
$26.30
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.