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 $16.22 Median $18.62 Typical High $18.62 | Professional | None | $16.22 | $18.62 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $46.77 | Facility | None | $19.50 | $28.18 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.72 Typical High $29.51 | Professional | None | $8.13 | $10.72 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $27.54 Typical High $66.07 | Facility | None | $12.59 | $27.54 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $29.51 | Professional | None | $12.02 | $19.05 | $29.51 |
ConnectiCare Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $26.92 | Professional | None | $10.72 | $14.45 | $26.92 |
United Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $31.62 | Professional | None | $7.59 | $15.49 | $31.62 |
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 $8.13 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.24 | $3.72 | $3.72 |
Where Connecticut sits
The same service costs 4.7 times more in Kansas than in Texas. 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· 25th of 51
$18.62
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.