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 $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $549.54 | Facility | None | $213.80 | $363.08 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $257.04 | Professional | None | $87.10 | $102.33 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $724.44 | Facility | None | $199.53 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $257.04 Typical High $446.68 | Professional | None | $112.20 | $257.04 | $446.68 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $512.86 | Professional | None | $199.53 | $269.15 | $512.86 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $257.04 | Professional | None | $83.18 | $120.23 | $257.04 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Where Connecticut sits
The same service costs 3.8 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· 13th of 51
$240
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.