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 $2.51 Median $3.09 Typical High $4.57 | Professional | None | $2.51 | $3.09 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.55 Median $5.01 Typical High $9.33 | Facility | None | $3.55 | $5.01 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.29 Typical High $4.90 | Professional | None | $1.70 | $2.29 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $6.03 Typical High $13.80 | Facility | None | $2.45 | $6.03 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $4.27 Typical High $6.03 | Professional | None | $2.63 | $4.27 | $6.03 |
ConnectiCare Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $5.25 | Professional | None | $2.24 | $3.80 | $5.25 |
Health New England Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.51 Typical High $6.61 | Professional | None | $1.91 | $2.51 | $6.61 |
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 $1.55 Median $1.55 Typical High $1.55 | Professional | 52 · Reduced service | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.62 |
Where Connecticut sits
The same service costs 11.7 times more in Minnesota 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
$3.55
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.