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 $25.70 Median $44.67 Typical High $44.67 | Professional | None | $25.70 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $120.23 | Facility | None | $50.12 | $67.61 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $69.18 | Professional | None | $23.99 | $29.51 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $177.83 | Facility | None | $32.36 | $77.62 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $79.43 | Professional | None | $33.11 | $51.29 | $79.43 |
ConnectiCare Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $72.44 | Professional | None | $28.84 | $38.90 | $72.44 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $85.11 | Professional | None | $20.42 | $36.31 | $85.11 |
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 $19.95 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.94 | $8.91 | $8.91 |
Where Connecticut sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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
$46.77
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.