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 $8.32 Median $14.13 Typical High $14.45 | Professional | None | $8.32 | $14.13 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $38.90 | Facility | None | $16.22 | $21.38 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $23.99 | Professional | None | $7.76 | $9.33 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $24.55 Typical High $63.10 | Facility | None | $10.23 | $24.55 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $16.60 Typical High $25.12 | Professional | None | $10.47 | $16.60 | $25.12 |
ConnectiCare Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $22.91 | Professional | None | $9.12 | $12.59 | $22.91 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $31.62 | Professional | None | $7.76 | $13.80 | $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 $6.31 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.31 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.51 | $2.82 | $2.82 |
Where Connecticut sits
The same service costs 4.2 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· 33rd of 51
$14.45
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.