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 $83.18 | Professional | None | $9.12 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $114.82 Typical High $1,148.15 | Facility | None | $50.12 | $114.82 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $45.71 | Professional | None | $20.89 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $114.82 Typical High $467.74 | Facility | None | $46.77 | $114.82 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $107.15 | Professional | None | $30.90 | $60.26 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $75.86 | Professional | None | $45.71 | $61.66 | $75.86 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $61.66 | Professional | None | $19.50 | $28.18 | $61.66 |
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 8.3 times more in Texas 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· 34th of 51
$45.71
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.