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 $194.98 | Professional | None | $162.18 | $194.98 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $602.56 | Facility | None | $223.87 | $323.59 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $323.59 | Professional | None | $123.03 | $144.54 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $977.24 | Facility | None | $239.88 | $389.05 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $562.34 | Professional | None | $162.18 | $288.40 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $467.74 | Professional | None | $239.88 | $354.81 | $467.74 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $331.13 | Professional | None | $102.33 | $144.54 | $331.13 |
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 $97.72 | Professional | 52 · Reduced service | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $38.90 | $38.90 |
Where Connecticut sits
The same service costs 5.1 times more in Texas than in Oklahoma. 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
$229
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.