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 $2.75 Median $4.68 Typical High $4.68 | Professional | None | $2.75 | $4.68 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $7.08 Typical High $12.88 | Facility | None | $5.37 | $7.08 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $7.24 | Professional | None | $2.57 | $3.09 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $8.32 Typical High $19.05 | Facility | None | $3.39 | $8.32 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $8.32 | Professional | None | $3.47 | $5.50 | $8.32 |
ConnectiCare Setting Professional Modifier None Typical Low $3.09 Median $4.17 Typical High $7.59 | Professional | None | $3.09 | $4.17 | $7.59 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.57 Typical High $9.12 | Professional | None | $2.57 | $4.57 | $9.12 |
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 $2.09 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.09 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.83 | $0.93 | $0.93 |
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· 28th of 51
$5.13
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.