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 Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $23.44 Typical High $58.88 | Facility | None | $10.72 | $23.44 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $18.20 | Professional | None | $10.00 | $13.80 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $25.12 Typical High $89.13 | Facility | None | $9.12 | $25.12 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | None | $14.79 | $14.79 | $32.36 |
ConnectiCare Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $14.79 | Professional | None | $11.75 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $8.51 Median $25.12 Typical High $43.65 | Professional | None | $8.51 | $25.12 | $43.65 |
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 $4.47 Median $4.47 Typical High $4.68 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.86 | Professional | 53 · Discontinued | $1.78 | $1.78 | $1.86 |
Where Connecticut sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 44th of 51
$15.14
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.