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 $21.88 Median $21.88 Typical High $109.65 | Professional | None | $21.88 | $21.88 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $51.29 Typical High $85.11 | Facility | None | $34.67 | $51.29 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $60.26 | Professional | None | $24.55 | $32.36 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $169.82 | Facility | None | $48.98 | $83.18 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | None | $63.10 | $72.44 | $77.62 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | None | $50.12 | $50.12 | $60.26 |
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 $10.96 Median $10.96 Typical High $51.29 | Professional | 52 · Reduced service | $10.96 | $10.96 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $20.42 | Professional | 53 · Discontinued | $4.37 | $4.37 | $20.42 |
Where Connecticut sits
The same service costs 15.8 times more in Illinois than in Colorado. 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· 46th of 51
$33.11
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.