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 $6.17 Median $6.17 Typical High $12.88 | Professional | None | $6.17 | $6.17 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $11.48 Typical High $22.91 | Facility | None | $7.08 | $11.48 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $10.47 | Professional | None | $4.07 | $5.62 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.02 Typical High $33.88 | Facility | None | $6.03 | $12.02 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $14.45 | Professional | None | $5.50 | $8.32 | $14.45 |
ConnectiCare Setting Professional Modifier None Typical Low $5.50 Median $7.41 Typical High $12.30 | Professional | None | $5.50 | $7.41 | $12.30 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.17 Typical High $16.22 | Professional | None | $4.68 | $6.17 | $16.22 |
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 $3.09 Median $3.09 Typical High $3.31 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.32 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.32 |
Where Connecticut sits
The same service costs 5.9 times more in Kansas than in Nebraska. 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· 42nd of 51
$7.24
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.