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 $2.45 Median $3.31 Typical High $3.55 | Professional | None | $2.45 | $3.31 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.89 Typical High $12.02 | Facility | None | $3.80 | $5.89 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.88 Typical High $5.37 | Professional | None | $2.09 | $2.88 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $7.24 Typical High $17.38 | Facility | None | $3.16 | $7.24 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $4.47 Typical High $7.59 | Professional | None | $2.95 | $4.47 | $7.59 |
ConnectiCare Setting Professional Modifier None Typical Low $2.88 Median $3.89 Typical High $10.00 | Professional | None | $2.88 | $3.89 | $10.00 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $8.51 | Professional | None | $2.45 | $3.24 | $8.51 |
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 $1.66 Median $1.66 Typical High $1.78 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.71 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.71 |
Where Connecticut sits
The same service costs 8.3 times more in Kansas than in Kentucky. 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· 40th of 51
$3.80
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.