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 $2.34 Median $3.98 Typical High $5.25 | Professional | None | $2.34 | $3.98 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $10.96 | Facility | None | $4.57 | $6.03 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $6.17 | Professional | None | $2.19 | $2.63 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $6.92 Typical High $15.49 | Facility | None | $2.88 | $6.92 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.47 Typical High $7.41 | Professional | None | $2.82 | $4.47 | $7.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2.57 Median $3.55 Typical High $6.76 | Professional | None | $2.57 | $3.55 | $6.76 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $7.76 | Professional | None | $2.19 | $3.24 | $7.76 |
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 $1.78 Median $2.00 Typical High $2.00 | Professional | 52 · Reduced service | $1.78 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.79 Typical High $0.79 | Professional | 53 · Discontinued | $0.71 | $0.79 | $0.79 |
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· 34th of 51
$4.17
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.