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 $12.88 Median $21.88 Typical High $28.84 | Professional | None | $12.88 | $21.88 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $64.57 | Facility | None | $25.70 | $40.74 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $33.88 | Professional | None | $11.48 | $14.45 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $36.31 Typical High $89.13 | Facility | None | $15.85 | $36.31 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
ConnectiCare Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | None | $11.22 | $14.13 | $14.13 |
Health New England Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $50.12 | Facility | None | $37.15 | $38.90 | $50.12 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $42.66 | Professional | None | $12.02 | $16.98 | $42.66 |
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 $10.96 Median $10.96 Typical High $18.62 | Professional | 52 · Reduced service | $10.96 | $10.96 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $7.41 | Professional | 53 · Discontinued | $4.37 | $4.37 | $7.41 |
Where Connecticut sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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
$21.88
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.