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 $97.72 Median $117.49 Typical High $125.89 | Professional | None | $97.72 | $117.49 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $158.49 Typical High $407.38 | Facility | None | $51.29 | $158.49 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $223.87 | Professional | None | $75.86 | $89.13 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $281.84 Typical High $645.65 | Facility | None | $138.04 | $281.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $389.05 | Professional | None | $97.72 | $218.78 | $389.05 |
ConnectiCare Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $281.84 | Professional | None | $173.78 | $234.42 | $281.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $223.87 | Professional | None | $74.13 | $104.71 | $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 $48.98 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $23.44 | $25.12 |
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
$105
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.