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 $4.27 Median $5.62 Typical High $6.76 | Professional | None | $4.27 | $5.62 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $10.72 Typical High $26.30 | Facility | None | $3.72 | $10.72 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.75 Typical High $7.94 | Professional | None | $3.02 | $5.75 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.24 Typical High $33.11 | Facility | None | $3.47 | $7.24 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
ConnectiCare Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $50.12 | Professional | None | $3.98 | $6.31 | $50.12 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.37 Typical High $13.80 | Professional | None | $2.51 | $4.37 | $13.80 |
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 $2.04 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.04 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.81 | $1.12 | $1.12 |
Where Connecticut sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 25th of 51
$5.75
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.