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 $112.20 Median $134.90 Typical High $144.54 | Professional | None | $112.20 | $134.90 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $512.86 | Facility | None | $154.88 | $257.04 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $269.15 | Professional | None | $93.33 | $123.03 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $1,047.13 | Facility | None | $331.13 | $616.60 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $426.58 | Professional | None | $117.49 | $239.88 | $426.58 |
ConnectiCare Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $331.13 | Professional | None | $204.17 | $275.42 | $331.13 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $281.84 | Professional | None | $87.10 | $123.03 | $281.84 |
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 $56.23 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $27.54 | $28.84 |
Where Connecticut sits
The same service costs 5.2 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· 32nd of 51
$186
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.