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 $79.43 Median $134.90 Typical High $134.90 | Professional | None | $79.43 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $371.54 | Facility | None | $151.36 | $204.17 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $208.93 | Professional | None | $74.13 | $89.13 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $537.03 | Facility | None | $97.72 | $194.98 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $239.88 | Professional | None | $100.00 | $154.88 | $239.88 |
ConnectiCare Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $218.78 | Professional | None | $87.10 | $117.49 | $218.78 |
United Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $263.03 | Professional | None | $61.66 | $109.65 | $263.03 |
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 $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.92 | $26.92 |
Where Connecticut sits
The same service costs 5.8 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· 23rd of 51
$148
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.