How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $12.02 Median $36.31 Typical High $57.54 | Professional | None | $12.02 | $36.31 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $218.78 | Facility | None | $102.33 | $138.04 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $38.02 Typical High $67.61 | Professional | None | $12.02 | $38.02 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $52.48 Typical High $72.44 | Professional | None | $15.49 | $52.48 | $72.44 |
ConnectiCare Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $74.13 | Professional | None | $43.65 | $48.98 | $74.13 |
Health New England Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $676.08 | Facility | None | $295.12 | $630.96 | $676.08 |
Health New England Setting Professional Modifier None Typical Low $24.55 Median $66.07 Typical High $181.97 | Professional | None | $24.55 | $66.07 | $181.97 |
United Setting Professional Modifier None Typical Low $12.30 Median $38.90 Typical High $123.03 | Professional | None | $12.30 | $38.90 | $123.03 |
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 $6.61 Median $15.14 Typical High $28.18 | Professional | 52 · Reduced service | $6.61 | $15.14 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $6.17 Typical High $11.48 | Professional | 53 · Discontinued | $2.69 | $6.17 | $11.48 |
Where Connecticut sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 19th of 51
$38.90
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.