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 $2.82 Median $3.47 Typical High $5.13 | Professional | None | $2.82 | $3.47 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $5.25 Typical High $9.55 | Facility | None | $3.98 | $5.25 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.29 Typical High $5.37 | Professional | None | $1.91 | $2.29 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $6.17 Typical High $14.45 | Facility | None | $2.63 | $6.17 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $4.07 Typical High $6.31 | Professional | None | $2.63 | $4.07 | $6.31 |
ConnectiCare Setting Professional Modifier None Typical Low $2.24 Median $3.09 Typical High $5.75 | Professional | None | $2.24 | $3.09 | $5.75 |
Health New England Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $524.81 | Facility | None | $269.15 | $269.15 | $524.81 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.39 Typical High $6.76 | Professional | None | $1.91 | $3.39 | $6.76 |
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 $1.55 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.55 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.62 | $0.69 | $0.69 |
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· 31st of 51
$3.80
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.