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 $7.94 Median $13.49 Typical High $13.80 | Professional | None | $7.94 | $13.49 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $20.89 Typical High $37.15 | Facility | None | $15.49 | $20.89 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $21.38 | Professional | None | $7.41 | $8.91 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $23.99 Typical High $54.95 | Facility | None | $9.77 | $23.99 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $23.99 | Professional | None | $10.00 | $15.85 | $23.99 |
ConnectiCare Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $21.88 | Professional | None | $8.91 | $12.02 | $21.88 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $26.30 | Professional | None | $6.31 | $10.96 | $26.30 |
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 $5.75 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $5.75 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.34 | $2.69 | $2.69 |
Where Connecticut sits
The same service costs 4.3 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· 31st of 51
$14.13
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.