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 $7.76 Median $7.76 Typical High $7.94 | Professional | None | $7.76 | $7.76 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $23.99 | Facility | None | $8.91 | $12.88 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $12.59 | Professional | None | $4.27 | $5.89 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.59 Typical High $35.48 | Facility | None | $6.31 | $12.59 | $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 $12.88 | Professional | None | $5.75 | $7.76 | $12.88 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $16.98 | Professional | None | $4.90 | $6.46 | $16.98 |
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 $3.89 Median $3.89 Typical High $3.98 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.58 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.58 |
Where Connecticut sits
The same service costs 3.6 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· 31st of 51
$8.91
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.