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 $4.90 Median $8.32 Typical High $8.51 | Professional | None | $4.90 | $8.32 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $22.91 | Facility | None | $9.55 | $12.59 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $12.88 | Professional | None | $4.57 | $5.50 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $14.79 Typical High $33.11 | Facility | None | $6.03 | $14.79 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $14.79 | Professional | None | $6.17 | $9.55 | $14.79 |
ConnectiCare Setting Professional Modifier None Typical Low $5.50 Median $7.41 Typical High $13.49 | Professional | None | $5.50 | $7.41 | $13.49 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.76 Typical High $16.22 | Professional | None | $4.17 | $6.76 | $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 $3.72 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $3.72 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.48 | $1.66 | $1.66 |
Where Connecticut sits
The same service costs 3.6 times more in Kansas than in Maryland. 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· 32nd of 51
$8.71
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.