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 $33.11 Median $38.02 Typical High $75.86 | Professional | None | $33.11 | $38.02 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $154.88 | Facility | None | $42.66 | $74.13 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $63.10 | Professional | None | $28.84 | $37.15 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $87.10 Typical High $229.09 | Facility | None | $40.74 | $87.10 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $93.33 | Professional | None | $41.69 | $54.95 | $93.33 |
ConnectiCare Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $85.11 | Professional | None | $36.31 | $50.12 | $85.11 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $288.40 Typical High $645.65 | Facility | None | $54.95 | $288.40 | $645.65 |
United Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $109.65 | Professional | None | $28.84 | $39.81 | $109.65 |
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 $19.05 Median $19.05 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.91 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska 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· 45th of 51
$48.98
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.