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 $5.37 Median $8.32 Typical High $8.32 | Professional | None | $5.37 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $13.18 Typical High $24.55 | Facility | None | $9.33 | $13.18 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.89 Typical High $12.88 | Professional | None | $4.47 | $5.89 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $14.79 Typical High $35.48 | Facility | None | $6.46 | $14.79 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $15.14 | Professional | None | $6.61 | $10.23 | $15.14 |
ConnectiCare Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $13.49 | Professional | None | $5.75 | $7.76 | $13.49 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $17.38 | Professional | None | $4.90 | $7.94 | $17.38 |
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 $3.98 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $3.98 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.58 | $1.66 | $1.66 |
Where Connecticut sits
The same service costs 4.4 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
$9.12
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.