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 $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $6.92 Typical High $12.30 | Facility | None | $5.13 | $6.92 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.95 Typical High $7.08 | Professional | None | $2.45 | $2.95 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.46 Typical High $17.78 | Facility | None | $3.31 | $6.46 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.61 | Professional | None | $2.95 | $2.95 | $6.61 |
ConnectiCare Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | None | $2.34 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.37 Typical High $8.71 | Professional | None | $2.45 | $4.37 | $8.71 |
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 $2.00 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $2.00 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.79 | $0.91 | $0.91 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 35th of 51
$4.57
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.