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 $38.90 Median $60.26 Typical High $60.26 | Professional | None | $38.90 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $29.51 Typical High $40.74 | Professional | None | $12.30 | $29.51 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $63.10 Typical High $109.65 | Professional | None | $26.92 | $63.10 | $109.65 |
ConnectiCare Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $107.15 | Professional | None | $44.67 | $58.88 | $107.15 |
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 $19.50 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $19.50 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $7.76 | $12.02 | $12.02 |
Where Connecticut sits
The same service costs 6.0 times more in Alaska than in Ohio. 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· 47th of 51
$34.67
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.