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 $10.47 Median $17.78 Typical High $18.20 | Professional | None | $10.47 | $17.78 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $48.98 | Facility | None | $20.42 | $26.92 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $27.54 | Professional | None | $9.33 | $11.75 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $31.62 Typical High $79.43 | Facility | None | $12.88 | $31.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $32.36 | Professional | None | $13.18 | $17.38 | $32.36 |
ConnectiCare Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | None | $11.75 | $15.85 | $28.84 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $34.67 | Professional | None | $9.77 | $16.98 | $34.67 |
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 $7.94 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $7.94 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.24 | $3.55 | $3.55 |
Where Connecticut sits
The same service costs 4.5 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· 30th of 51
$18.62
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.