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 $69.18 Median $70.79 Typical High $70.79 | Professional | None | $69.18 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $281.84 | Facility | None | $0.02 | $0.02 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $61.66 | Professional | None | $45.71 | $52.48 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $134.90 | Facility | None | $81.28 | $81.28 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
ConnectiCare Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None | $70.79 | $70.79 | $77.62 |
United Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $89.13 | Professional | None | $75.86 | $79.43 | $89.13 |
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 $34.67 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $34.67 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $14.13 | $14.13 |
Where Connecticut sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 41st of 51
$70.79
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.