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 $3.72 Median $5.13 Typical High $6.03 | Professional | None | $3.72 | $5.13 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $9.12 Typical High $17.78 | Facility | None | $5.89 | $9.12 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.37 Typical High $8.32 | Professional | None | $3.24 | $4.37 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $10.96 Typical High $26.30 | Facility | None | $4.68 | $10.96 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $10.96 | Professional | None | $4.79 | $7.59 | $10.96 |
ConnectiCare Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $9.55 | Professional | None | $4.27 | $5.75 | $9.55 |
United Setting Professional Modifier None Typical Low $3.63 Median $4.90 Typical High $12.59 | Professional | None | $3.63 | $4.90 | $12.59 |
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 $2.57 Median $2.57 Typical High $2.95 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.17 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.17 |
Where Connecticut sits
The same service costs 4.1 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· 37th of 51
$5.89
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.