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 $15.85 Median $15.85 Typical High $21.38 | Professional | None | $15.85 | $15.85 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $66.07 | Facility | None | $17.78 | $30.90 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $26.92 | Professional | None | $12.59 | $15.85 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.90 Typical High $97.72 | Facility | None | $17.38 | $38.90 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $42.66 | Professional | None | $17.78 | $27.54 | $42.66 |
ConnectiCare Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $38.90 | Professional | None | $15.85 | $19.50 | $38.90 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $46.77 | Professional | None | $11.22 | $17.38 | $46.77 |
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 $7.76 Median $7.76 Typical High $10.72 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.27 |
Where Connecticut sits
The same service costs 3.6 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· 46th of 51
$20.42
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.