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 $5.13 Median $8.71 Typical High $8.91 | Professional | None | $5.13 | $8.71 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $23.99 | Facility | None | $10.00 | $13.18 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $13.49 | Professional | None | $4.57 | $5.75 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $15.49 Typical High $34.67 | Facility | None | $6.31 | $15.49 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $15.85 | Professional | None | $6.31 | $10.00 | $15.85 |
ConnectiCare Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $14.45 | Professional | None | $5.62 | $7.76 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.32 Typical High $16.98 | Professional | None | $4.79 | $8.32 | $16.98 |
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 $3.31 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $3.31 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.32 | $1.74 | $1.74 |
Where Connecticut sits
The same service costs 8.3 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
$9.12
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.