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 $100.00 Median $123.03 Typical High $128.82 | Professional | None | $100.00 | $123.03 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $229.09 Typical High $457.09 | Facility | None | $138.04 | $229.09 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $239.88 | Professional | None | $83.18 | $112.20 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $676.08 | Facility | None | $186.21 | $295.12 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $380.19 | Professional | None | $102.33 | $208.93 | $380.19 |
ConnectiCare Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $302.00 | Professional | None | $181.97 | $245.47 | $302.00 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $234.42 | Professional | None | $77.62 | $112.20 | $234.42 |
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 $50.12 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $20.42 | $24.55 | $25.70 |
Where Connecticut sits
The same service costs 4.2 times more in Texas 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
$174
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.