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 $19.05 Median $23.44 Typical High $23.44 | Professional | None | $19.05 | $23.44 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $64.57 | Facility | None | $26.30 | $35.48 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $36.31 | Professional | None | $12.30 | $15.49 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $40.74 Typical High $93.33 | Facility | None | $16.98 | $40.74 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $41.69 | Professional | None | $17.38 | $26.92 | $41.69 |
ConnectiCare Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $38.02 | Professional | None | $15.14 | $20.42 | $38.02 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $45.71 | Professional | None | $10.96 | $19.05 | $45.71 |
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 $10.47 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.47 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.17 | $4.68 | $4.68 |
Where Connecticut sits
The same service costs 4.0 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· 24th of 51
$25.70
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.