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 $35.48 Median $60.26 Typical High $60.26 | Professional | None | $35.48 | $60.26 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $165.96 | Facility | None | $69.18 | $93.33 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $95.50 | Professional | None | $33.11 | $40.74 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $245.47 | Facility | None | $44.67 | $89.13 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $109.65 | Professional | None | $42.66 | $70.79 | $109.65 |
ConnectiCare Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $100.00 | Professional | None | $39.81 | $53.70 | $100.00 |
United Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $117.49 | Professional | None | $28.18 | $50.12 | $117.49 |
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 $26.92 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.02 |
Where Connecticut sits
The same service costs 3.3 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· 26th of 51
$66.07
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.