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 $41.69 Median $63.10 Typical High $63.10 | Professional | None | $41.69 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $51.29 | Professional | None | $24.55 | $34.67 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $66.07 Typical High $117.49 | Professional | None | $28.18 | $66.07 | $117.49 |
ConnectiCare Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $114.82 | Professional | None | $46.77 | $61.66 | $114.82 |
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 $20.89 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $20.89 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $8.32 | $12.59 | $12.59 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 40th of 51
$41.69
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.