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 $7.94 Median $7.94 Typical High $10.72 | Professional | None | $7.94 | $7.94 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $28.84 | Facility | None | $9.12 | $14.13 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $13.18 | Professional | None | $5.75 | $6.92 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $15.49 Typical High $42.66 | Facility | None | $7.59 | $15.49 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $19.05 | Professional | None | $7.94 | $12.30 | $19.05 |
ConnectiCare Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $17.38 | Professional | None | $6.92 | $9.33 | $17.38 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $20.42 | Professional | None | $5.75 | $8.91 | $20.42 |
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 $3.98 Typical High $4.68 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.86 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.86 |
Where Connecticut sits
The same service costs 5.0 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· 40th of 51
$9.55
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.