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 $162.18 Median $194.98 Typical High $208.93 | Professional | None | $162.18 | $194.98 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $724.44 | Facility | None | $223.87 | $371.54 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $371.54 | Professional | None | $151.36 | $177.83 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $1,071.52 | Facility | None | $295.12 | $467.74 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $602.56 | Professional | None | $162.18 | $331.13 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $478.63 | Professional | None | $295.12 | $398.11 | $478.63 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $380.19 | Professional | None | $123.03 | $177.83 | $380.19 |
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 $81.28 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $38.90 | $41.69 |
Where Connecticut sits
The same service costs 3.8 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· 38th of 51
$245
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.