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 $4.79 Median $7.59 Typical High $7.76 | Professional | None | $4.79 | $7.59 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $23.44 | Facility | None | $8.71 | $12.59 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $12.30 | Professional | None | $4.17 | $5.62 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $13.80 Typical High $33.88 | Facility | None | $6.17 | $13.80 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $14.45 | Professional | None | $6.31 | $10.00 | $14.45 |
ConnectiCare Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $12.30 | Professional | None | $5.62 | $7.59 | $12.30 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $16.60 | Professional | None | $4.17 | $6.31 | $16.60 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Where Connecticut sits
The same service costs 4.2 times more in Kansas than in North Carolina. 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· 29th 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.