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 $41.69 Median $51.29 Typical High $51.29 | Professional | None | $41.69 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $72.44 Typical High $114.82 | Facility | None | $39.81 | $72.44 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $79.43 | Professional | None | $18.20 | $21.88 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $57.54 Typical High $134.90 | Facility | None | $25.70 | $57.54 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $67.61 | Professional | None | $24.55 | $46.77 | $67.61 |
ConnectiCare Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $63.10 | Professional | None | $21.38 | $29.51 | $63.10 |
United Setting Professional Modifier None Typical Low $18.20 Median $37.15 Typical High $75.86 | Professional | None | $18.20 | $37.15 | $75.86 |
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 $20.89 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.32 | $10.23 | $10.23 |
Where Connecticut sits
The same service costs 10.2 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· 23rd of 51
$43.65
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.