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 $9.12 Median $83.18 Typical High $104.71 | Professional | None | $9.12 | $83.18 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $102.33 | Facility | None | $42.66 | $63.10 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $87.10 | Professional | None | $17.78 | $23.44 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $63.10 Typical High $144.54 | Facility | None | $36.31 | $63.10 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $53.70 Typical High $89.13 | Professional | None | $26.30 | $53.70 | $89.13 |
ConnectiCare Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $63.10 | Professional | None | $38.90 | $52.48 | $63.10 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $50.12 | Professional | None | $16.60 | $23.44 | $50.12 |
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 $41.69 | Professional | 52 · Reduced service | $12.30 | $12.30 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $16.60 | Professional | 53 · Discontinued | $4.90 | $4.90 | $16.60 |
Where Connecticut sits
The same service costs 6.6 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· 13th of 51
$48.98
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.