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 $5.75 Median $9.33 Typical High $9.55 | Professional | None | $5.75 | $9.33 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $26.30 | Facility | None | $10.72 | $14.13 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.46 Typical High $14.45 | Professional | None | $5.13 | $6.46 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $13.80 Typical High $39.81 | Facility | None | $7.08 | $13.80 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $16.60 | Professional | None | $7.24 | $11.22 | $16.60 |
ConnectiCare Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $15.14 | Professional | None | $6.31 | $8.51 | $15.14 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.59 Typical High $18.62 | Professional | None | $4.47 | $7.59 | $18.62 |
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 $4.37 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.37 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.74 | $1.86 | $1.86 |
Where Connecticut sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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
$10.23
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.