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 $3.16 Median $3.80 Typical High $3.89 | Professional | None | $3.16 | $3.80 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $5.89 Typical High $10.47 | Facility | None | $4.37 | $5.89 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $6.03 | Professional | None | $2.09 | $2.57 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.62 Typical High $15.49 | Facility | None | $2.82 | $5.62 | $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 $3.39 Typical High $6.17 | Professional | None | $2.51 | $3.39 | $6.17 |
Health New England Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $69.18 | Facility | None | $23.44 | $23.44 | $69.18 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.72 Typical High $8.71 | Professional | None | $2.14 | $3.72 | $8.71 |
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 $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.74 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.69 | $0.78 | $0.78 |
Where Connecticut sits
The same service costs 3.6 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.