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 $95.50 Typical High $151.36 | Professional | None | $35.48 | $95.50 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $190.55 | Facility | None | $51.29 | $109.65 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $177.83 | Professional | None | $21.38 | $28.18 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $173.78 | Facility | None | $46.77 | $75.86 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $107.15 | Professional | None | $31.62 | $60.26 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $75.86 | Professional | None | $46.77 | $63.10 | $75.86 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $60.26 | Professional | None | $19.95 | $28.18 | $60.26 |
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 $12.30 Median $12.30 Typical High $47.86 | Professional | 52 · Reduced service | $12.30 | $12.30 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $19.05 | Professional | 53 · Discontinued | $4.90 | $4.90 | $19.05 |
Where Connecticut sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 11th of 51
$63.10
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.