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 $75.86 Median $93.33 Typical High $93.33 | Professional | None | $75.86 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $257.04 | Facility | None | $107.15 | $141.25 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $144.54 | Professional | None | $51.29 | $61.66 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $134.90 Typical High $380.19 | Facility | None | $67.61 | $134.90 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $165.96 | Professional | None | $69.18 | $107.15 | $165.96 |
ConnectiCare Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $151.36 | Professional | None | $60.26 | $83.18 | $151.36 |
United Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $181.97 | Professional | None | $46.77 | $75.86 | $181.97 |
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 $41.69 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $18.62 | $18.62 |
Where Connecticut sits
The same service costs 5.1 times more in Kansas than in Alabama. 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· 25th of 51
$102
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.