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 $70.79 Median $125.89 Typical High $138.04 | Professional | None | $70.79 | $125.89 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $234.42 | Facility | None | $89.13 | $125.89 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $162.18 | Professional | None | $48.98 | $57.54 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $346.74 | Facility | None | $52.48 | $95.50 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $213.80 | Professional | None | $63.10 | $120.23 | $213.80 |
ConnectiCare Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $154.88 | Professional | None | $93.33 | $125.89 | $154.88 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $120.23 | Professional | None | $39.81 | $57.54 | $120.23 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 18th of 51
$100
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.