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 $20.42 Median $21.88 Typical High $51.29 | Professional | None | $20.42 | $21.88 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $50.12 Typical High $112.20 | Facility | None | $16.60 | $50.12 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $31.62 | Professional | None | $18.62 | $23.44 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $46.77 Typical High $165.96 | Facility | None | $15.85 | $46.77 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $60.26 | Professional | None | $24.55 | $24.55 | $60.26 |
ConnectiCare Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $37.15 | Professional | None | $21.88 | $27.54 | $37.15 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Facility | None | $74.13 | $74.13 | $75.86 |
United Setting Professional Modifier None Typical Low $9.77 Median $27.54 Typical High $81.28 | Professional | None | $9.77 | $27.54 | $81.28 |
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 $9.77 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.89 | $4.37 | $4.37 |
Where Connecticut sits
The same service costs 4.9 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· 45th of 51
$24.55
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.