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 $3.24 Median $3.89 Typical High $3.98 | Professional | None | $3.24 | $3.89 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $7.24 Typical High $14.45 | Facility | None | $4.47 | $7.24 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $6.46 | Professional | None | $2.51 | $3.55 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $7.59 Typical High $21.38 | Facility | None | $3.80 | $7.59 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $8.91 | Professional | None | $3.39 | $5.13 | $8.91 |
ConnectiCare Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $12.30 | Professional | None | $3.47 | $4.68 | $12.30 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $10.23 | Professional | None | $2.95 | $3.89 | $10.23 |
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 $1.95 Median $1.95 Typical High $2.04 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.81 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.81 |
Where Connecticut sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 43rd of 51
$4.47
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.