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 $83.18 Median $100.00 Typical High $100.00 | Professional | None | $83.18 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $302.00 | Facility | None | $112.20 | $162.18 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $165.96 | Professional | None | $61.66 | $74.13 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $489.78 | Facility | None | $123.03 | $194.98 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $281.84 | Professional | None | $81.28 | $147.91 | $281.84 |
ConnectiCare Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $234.42 | Professional | None | $120.23 | $177.83 | $234.42 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $165.96 | Professional | None | $51.29 | $74.13 | $165.96 |
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 $40.74 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $19.95 | $19.95 |
Where Connecticut sits
The same service costs 4.4 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· 34th of 51
$115
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.