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 $6.92 Median $6.92 Typical High $7.08 | Professional | None | $6.92 | $6.92 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $12.30 Typical High $25.12 | Facility | None | $7.94 | $12.30 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $11.75 | Professional | None | $4.37 | $6.03 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $13.18 Typical High $36.31 | Facility | None | $6.61 | $13.18 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $15.49 | Professional | None | $6.17 | $9.12 | $15.49 |
ConnectiCare Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $13.49 | Professional | None | $5.89 | $8.13 | $13.49 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $17.78 | Professional | None | $4.27 | $6.61 | $17.78 |
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 $3.47 Median $3.47 Typical High $3.55 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.41 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.41 |
Where Connecticut sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 41st of 51
$7.94
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.