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 $9.55 Median $16.22 Typical High $16.60 | Professional | None | $9.55 | $16.22 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $44.67 | Facility | None | $18.62 | $24.55 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $25.12 | Professional | None | $8.91 | $10.72 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $28.84 Typical High $66.07 | Facility | None | $11.75 | $28.84 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $28.84 | Professional | None | $12.02 | $19.05 | $28.84 |
ConnectiCare Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $26.30 | Professional | None | $10.72 | $14.45 | $26.30 |
Health New England Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $6.31 Median $12.59 Typical High $31.62 | Professional | None | $6.31 | $12.59 | $31.62 |
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 $6.92 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $6.92 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.75 | $3.24 | $3.24 |
Where Connecticut sits
The same service costs 6.2 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· 28th of 51
$16.60
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.