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 $70.79 Median $70.79 Typical High $74.13 | Professional | None | $70.79 | $70.79 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $323.59 | Facility | None | $81.28 | $151.36 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $120.23 | Professional | None | $56.23 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $467.74 | Facility | None | $83.18 | $144.54 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $186.21 | Professional | None | $56.23 | $107.15 | $186.21 |
ConnectiCare Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $169.82 | Professional | None | $75.86 | $91.20 | $169.82 |
United Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $223.87 | Professional | None | $46.77 | $77.62 | $223.87 |
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 $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.79 |
Where Connecticut sits
The same service costs 6.0 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· 44th of 51
$89.13
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.