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 $2.63 Median $4.27 Typical High $6.17 | Professional | None | $2.63 | $4.27 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $6.76 Typical High $12.59 | Facility | None | $4.90 | $6.76 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $6.76 | Professional | None | $2.34 | $3.02 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.76 Typical High $19.05 | Facility | None | $3.31 | $7.76 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $7.94 | Professional | None | $3.47 | $5.50 | $7.94 |
ConnectiCare Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $7.24 | Professional | None | $3.02 | $4.07 | $7.24 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $8.91 | Professional | None | $2.14 | $3.55 | $8.91 |
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 $2.04 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $2.04 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.81 | $0.85 | $0.85 |
Where Connecticut sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 33rd of 51
$4.79
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.