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 $102.33 Median $147.91 Typical High $229.09 | Professional | None | $102.33 | $147.91 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $138.04 Typical High $380.19 | Facility | None | $44.67 | $138.04 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $181.97 | Professional | None | $70.79 | $83.18 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $660.69 | Facility | None | $165.96 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $208.93 Typical High $407.38 | Professional | None | $107.15 | $208.93 | $407.38 |
ConnectiCare Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | None | $162.18 | $218.78 | $263.03 |
Health New England Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $501.19 | Facility | None | $165.96 | $165.96 | $501.19 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $223.87 | Professional | None | $69.18 | $100.00 | $223.87 |
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 $60.26 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $29.51 | $29.51 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 51st of 51
$97.72
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.