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 $3.47 Median $3.89 Typical High $5.75 | Professional | None | $3.47 | $3.89 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $5.89 Typical High $10.72 | Facility | None | $4.47 | $5.89 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.57 Typical High $6.03 | Professional | None | $2.14 | $2.57 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $6.92 Typical High $15.49 | Facility | None | $2.82 | $6.92 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.47 Typical High $6.76 | Professional | None | $2.82 | $4.47 | $6.76 |
ConnectiCare Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $6.17 | Professional | None | $2.51 | $3.47 | $6.17 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.16 Typical High $7.59 | Professional | None | $2.14 | $3.16 | $7.59 |
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 $1.74 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.74 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.71 | $0.78 | $0.78 |
Where Connecticut sits
The same service costs 3.3 times more in Kansas than in Maryland. 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· 28th of 51
$4.27
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.