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 $58.88 Median $72.44 Typical High $72.44 | Professional | None | $58.88 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $199.53 | Facility | None | $83.18 | $109.65 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $112.20 | Professional | None | $34.67 | $47.86 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $239.88 | Facility | None | $52.48 | $104.71 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $134.90 | Professional | None | $53.70 | $89.13 | $134.90 |
ConnectiCare Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $120.23 | Professional | None | $47.86 | $64.57 | $120.23 |
United Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $141.25 | Professional | None | $33.88 | $58.88 | $141.25 |
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 $32.36 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $12.88 | $14.45 | $14.45 |
Where Connecticut sits
The same service costs 4.6 times more in Kansas 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· 26th of 51
$79.43
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.