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 $0.81 Median $2.51 Typical High $5.75 | Professional | None | $0.81 | $2.51 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.07 Median $3.63 Typical High $11.22 | Facility | None | $1.07 | $3.63 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.29 Median $2.40 Typical High $3.47 | Professional | None | $1.29 | $2.40 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $6.92 Typical High $17.78 | Facility | None | $3.09 | $6.92 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.17 Typical High $7.94 | Professional | None | $3.31 | $4.17 | $7.94 |
ConnectiCare Setting Professional Modifier None Typical Low $2.24 Median $3.31 Typical High $7.24 | Professional | None | $2.24 | $3.31 | $7.24 |
Health New England Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $1.10 Median $3.02 Typical High $8.32 | Professional | None | $1.10 | $3.02 | $8.32 |
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 $0.41 Median $0.41 Typical High $1.95 | Professional | 52 · Reduced service | $0.41 | $0.41 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.78 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.78 |
Where Connecticut sits
The same service costs 4.2 times more in Kansas than in Connecticut. 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· 51st of 51
$2.82
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.