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 $12.30 Median $14.79 Typical High $15.14 | Professional | None | $12.30 | $14.79 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $45.71 | Facility | None | $16.98 | $24.55 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $22.91 | Professional | None | $8.13 | $10.96 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $66.07 | Facility | None | $12.02 | $26.92 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $28.84 | Professional | None | $12.30 | $19.05 | $28.84 |
ConnectiCare Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $24.55 | Professional | None | $10.72 | $14.79 | $24.55 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $32.36 | Professional | None | $9.12 | $14.45 | $32.36 |
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 $6.31 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $6.31 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.51 | $2.95 | $2.95 |
Where Connecticut sits
The same service costs 4.1 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· 31st of 51
$16.98
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.