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 $22.91 Median $23.99 Typical High $23.99 | Professional | None | $22.91 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $38.02 Typical High $70.79 | Facility | None | $26.92 | $38.02 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $37.15 | Professional | None | $12.88 | $16.98 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $42.66 Typical High $104.71 | Facility | None | $18.62 | $42.66 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $43.65 | Professional | None | $19.05 | $29.51 | $43.65 |
ConnectiCare Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $38.90 | Professional | None | $16.98 | $22.91 | $38.90 |
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 $14.13 Median $20.89 Typical High $50.12 | Professional | None | $14.13 | $20.89 | $50.12 |
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 $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.57 | $4.79 | $4.79 |
Where Connecticut sits
The same service costs 4.8 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· 28th of 51
$26.30
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.