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 $20.42 Typical High $20.89 | Professional | None | $16.98 | $20.42 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $56.23 | Facility | None | $23.44 | $30.90 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $31.62 | Professional | None | $11.22 | $13.49 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $36.31 Typical High $83.18 | Facility | None | $14.79 | $36.31 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $36.31 | Professional | None | $15.14 | $23.44 | $36.31 |
ConnectiCare Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $33.11 | Professional | None | $13.49 | $18.20 | $33.11 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $39.81 | Professional | None | $11.22 | $19.95 | $39.81 |
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 $9.12 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $9.12 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.63 | $4.07 | $4.07 |
Where Connecticut sits
The same service costs 4.2 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· 29th of 51
$22.39
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.