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 $257.04 Median $309.03 Typical High $331.13 | Professional | None | $257.04 | $309.03 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,148.15 | Facility | None | $354.81 | $575.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $602.56 | Professional | None | $208.93 | $281.84 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,698.24 | Facility | None | $741.31 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $954.99 | Professional | None | $257.04 | $524.81 | $954.99 |
ConnectiCare Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $758.58 | Professional | None | $467.74 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $602.56 | Professional | None | $194.98 | $281.84 | $602.56 |
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 $128.82 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $61.66 | $66.07 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 33rd of 51
$437
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.