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 $9.33 Median $15.85 Typical High $16.22 | Professional | None | $9.33 | $15.85 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $43.65 | Facility | None | $18.20 | $23.99 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $24.55 | Professional | None | $8.71 | $10.47 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $28.18 Typical High $64.57 | Facility | None | $11.48 | $28.18 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $28.18 | Professional | None | $11.75 | $18.62 | $28.18 |
ConnectiCare Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $25.70 | Professional | None | $10.47 | $14.13 | $25.70 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $30.90 | Professional | None | $8.91 | $13.18 | $30.90 |
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 $7.08 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.08 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.88 | $3.16 | $3.16 |
Where Connecticut sits
The same service costs 3.5 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· 34th of 51
$16.60
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.