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 $15.85 Median $15.85 Typical High $28.18 | Professional | None | $15.85 | $15.85 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $34.67 Typical High $75.86 | Facility | None | $17.78 | $34.67 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $26.92 | Professional | None | $15.14 | $18.62 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $44.67 Typical High $114.82 | Facility | None | $20.42 | $44.67 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $50.12 | Professional | None | $20.89 | $32.36 | $50.12 |
ConnectiCare Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $45.71 | Professional | None | $18.20 | $21.88 | $45.71 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $54.95 | Professional | None | $12.88 | $20.42 | $54.95 |
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 $7.76 Median $7.76 Typical High $12.59 | Professional | 52 · Reduced service | $7.76 | $7.76 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $5.01 | Professional | 53 · Discontinued | $3.16 | $3.16 | $5.01 |
Where Connecticut sits
The same service costs 4.2 times more in Kansas than in Alabama. 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· 50th of 51
$22.39
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.