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 $6.17 Median $10.47 Typical High $10.72 | Professional | None | $6.17 | $10.47 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $15.85 Typical High $28.84 | Facility | None | $11.75 | $15.85 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $16.22 | Professional | None | $5.75 | $6.92 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $15.14 Typical High $41.69 | Facility | None | $7.59 | $15.14 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $19.05 | Professional | None | $7.59 | $12.02 | $19.05 |
ConnectiCare Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $16.60 | Professional | None | $6.76 | $9.12 | $16.60 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $20.42 | Professional | None | $4.79 | $8.51 | $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 $4.68 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $4.68 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $1.86 | $2.09 | $2.09 |
Where Connecticut sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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· 34th of 51
$10.72
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.