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 $10.72 Median $10.72 Typical High $10.96 | Professional | None | $10.72 | $10.72 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $33.11 | Facility | None | $12.30 | $17.78 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $16.98 | Professional | None | $5.89 | $8.13 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $17.38 Typical High $47.86 | Facility | None | $8.71 | $17.38 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $20.42 | Professional | None | $8.91 | $14.13 | $20.42 |
ConnectiCare Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $17.78 | Professional | None | $7.94 | $10.72 | $17.78 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $23.44 | Professional | None | $6.76 | $10.23 | $23.44 |
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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where Connecticut sits
The same service costs 4.1 times more in Kansas than in New Jersey. 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
$12.30
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.