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 $18.62 Median $40.74 Typical High $40.74 | Professional | None | $18.62 | $40.74 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $83.18 | Facility | None | $25.70 | $40.74 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $53.70 | Professional | None | $15.14 | $19.95 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $123.03 | Facility | None | $22.91 | $53.70 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $69.18 | Professional | None | $19.05 | $29.51 | $69.18 |
ConnectiCare Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $61.66 | Professional | None | $33.11 | $45.71 | $61.66 |
Health New England Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $93.33 | Professional | None | $18.20 | $34.67 | $93.33 |
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 $9.77 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $9.77 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $3.89 | $8.32 | $8.32 |
Where Connecticut sits
The same service costs 5.6 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· 30th of 51
$34.67
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.