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 $7.08 Median $12.02 Typical High $12.30 | Professional | None | $7.08 | $12.02 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $18.20 Typical High $33.11 | Facility | None | $13.80 | $18.20 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $19.95 | Professional | None | $6.61 | $7.94 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $20.89 Typical High $47.86 | Facility | None | $8.71 | $20.89 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $21.38 | Professional | None | $8.71 | $13.80 | $21.38 |
ConnectiCare Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $19.50 | Professional | None | $7.76 | $10.72 | $19.50 |
United Setting Professional Modifier None Typical Low $6.61 Median $11.75 Typical High $23.44 | Professional | None | $6.61 | $11.75 | $23.44 |
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 $5.37 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $5.37 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.14 | $2.40 | $2.40 |
Where Connecticut sits
The same service costs 4.2 times more in Kansas 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
$12.59
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.