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 $3.16 Median $3.89 Typical High $5.75 | Professional | None | $3.16 | $3.89 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $5.89 Typical High $10.47 | Facility | None | $4.37 | $5.89 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $6.03 | Professional | None | $2.09 | $2.57 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $6.76 Typical High $15.49 | Facility | None | $2.82 | $6.76 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $6.76 | Professional | None | $2.82 | $5.01 | $6.76 |
ConnectiCare Setting Professional Modifier None Typical Low $2.51 Median $4.17 Typical High $6.31 | Professional | None | $2.51 | $4.17 | $6.31 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $7.59 | Professional | None | $2.57 | $4.68 | $7.59 |
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 $1.74 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.74 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.69 | $0.78 | $0.78 |
Where Connecticut sits
The same service costs 3.2 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· 30th of 51
$4.37
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.