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 $17.38 Median $21.38 Typical High $21.38 | Professional | None | $17.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $63.10 | Facility | None | $24.55 | $33.88 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $33.11 | Professional | None | $11.75 | $15.14 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $32.36 Typical High $91.20 | Facility | None | $16.60 | $32.36 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $38.90 | Professional | None | $16.98 | $26.30 | $38.90 |
ConnectiCare Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $34.67 | Professional | None | $14.79 | $19.95 | $34.67 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $8.91 Median $16.60 Typical High $44.67 | Professional | None | $8.91 | $16.60 | $44.67 |
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 $10.23 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.23 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.07 | $4.27 | $4.27 |
Where Connecticut sits
The same service costs 3.5 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· 27th of 51
$23.99
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.