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 $1.62 Median $1.95 Typical High $2.88 | Professional | None | $1.62 | $1.95 | $2.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.24 Median $2.95 Typical High $5.37 | Facility | None | $2.24 | $2.95 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $1.29 Typical High $3.02 | Professional | None | $1.07 | $1.29 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $3.47 Typical High $8.32 | Facility | None | $1.45 | $3.47 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.40 Typical High $3.63 | Professional | None | $1.51 | $2.40 | $3.63 |
ConnectiCare Setting Professional Modifier None Typical Low $1.29 Median $1.74 Typical High $3.31 | Professional | None | $1.29 | $1.74 | $3.31 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.34 Typical High $3.80 | Professional | None | $1.29 | $2.34 | $3.80 |
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 $0.87 Median $0.98 Typical High $0.98 | Professional | 52 · Reduced service | $0.87 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.39 Typical High $0.39 | Professional | 53 · Discontinued | $0.35 | $0.39 | $0.39 |
Where Connecticut sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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
$2.19
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.