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 $3.80 Median $3.89 Typical High $3.89 | Professional | None | $3.80 | $3.89 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $6.31 Typical High $11.48 | Facility | None | $4.47 | $6.31 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.82 Typical High $6.03 | Professional | None | $2.14 | $2.82 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.03 Typical High $16.60 | Facility | None | $3.02 | $6.03 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $7.08 | Professional | None | $3.09 | $4.79 | $7.08 |
ConnectiCare Setting Professional Modifier None Typical Low $2.75 Median $3.72 Typical High $6.17 | Professional | None | $2.75 | $3.72 | $6.17 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.16 Typical High $8.32 | Professional | None | $2.09 | $3.16 | $8.32 |
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 $1.91 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.91 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.76 | $0.78 | $0.78 |
Where Connecticut sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 31st of 51
$4.37
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.