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 $6.92 Median $7.94 Typical High $7.94 | Professional | None | $6.92 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $12.02 Typical High $19.50 | Facility | None | $8.32 | $12.02 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $12.59 | Professional | None | $3.80 | $4.57 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $11.75 Typical High $28.84 | Facility | None | $5.37 | $11.75 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $12.59 | Professional | None | $5.25 | $8.13 | $12.59 |
ConnectiCare Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $11.48 | Professional | None | $4.57 | $6.17 | $11.48 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $13.49 | Professional | None | $3.89 | $7.76 | $13.49 |
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 $3.39 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.39 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.38 | $1.58 | $1.58 |
Where Connecticut sits
The same service costs 3.5 times more in Kansas than in Alabama. 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· 24th of 51
$7.94
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.