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 $26.92 Median $45.71 Typical High $47.86 | Professional | None | $26.92 | $45.71 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $125.89 | Facility | None | $52.48 | $69.18 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $70.79 | Professional | None | $25.12 | $30.20 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $181.97 | Facility | None | $33.11 | $66.07 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $81.28 | Professional | None | $33.88 | $52.48 | $81.28 |
ConnectiCare Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $74.13 | Professional | None | $29.51 | $40.74 | $74.13 |
United Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $89.13 | Professional | None | $21.38 | $37.15 | $89.13 |
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 $20.42 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.13 | $9.12 | $9.12 |
Where Connecticut sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 26th of 51
$50.12
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.