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 $177.83 Median $218.78 Typical High $223.87 | Professional | None | $177.83 | $218.78 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $741.31 | Facility | None | $245.47 | $380.19 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $407.38 | Professional | None | $134.90 | $181.97 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $1,096.48 | Facility | None | $251.19 | $323.59 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $616.60 | Professional | None | $181.97 | $323.59 | $616.60 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $512.86 | Professional | None | $295.12 | $398.11 | $512.86 |
Health New England Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $398.11 | Professional | None | $125.89 | $181.97 | $398.11 |
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 $89.13 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $43.65 | $44.67 |
Where Connecticut sits
The same service costs 3.9 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· 32nd of 51
$288
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.