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 $45.71 Median $77.62 Typical High $77.62 | Professional | None | $45.71 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $213.80 | Facility | None | $89.13 | $120.23 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $123.03 | Professional | None | $42.66 | $52.48 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $112.20 Typical High $316.23 | Facility | None | $57.54 | $112.20 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | None | $57.54 | $91.20 | $141.25 |
ConnectiCare Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $128.82 | Professional | None | $51.29 | $69.18 | $128.82 |
United Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $151.36 | Professional | None | $43.65 | $60.26 | $151.36 |
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 $35.48 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.13 | $15.85 | $15.85 |
Where Connecticut sits
The same service costs 4.1 times more in Alaska than in Alabama. 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· 29th of 51
$83.18
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.