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 $16.98 Median $28.84 Typical High $28.84 | Professional | None | $16.98 | $28.84 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $44.67 Typical High $79.43 | Facility | None | $33.11 | $44.67 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $45.71 | Professional | None | $15.85 | $19.50 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $51.29 Typical High $117.49 | Facility | None | $21.38 | $51.29 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $52.48 | Professional | None | $21.38 | $33.88 | $52.48 |
ConnectiCare Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $47.86 | Professional | None | $19.05 | $25.70 | $47.86 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $56.23 | Professional | None | $16.22 | $28.18 | $56.23 |
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 $13.18 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $13.18 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.89 | $5.89 |
Where Connecticut sits
The same service costs 4.1 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· 33rd of 51
$30.20
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.