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 $95.50 Median $117.49 Typical High $123.03 | Professional | None | $95.50 | $117.49 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $478.63 Typical High $1,023.29 | Facility | None | $169.82 | $478.63 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $501.19 | Professional | None | $194.98 | $223.87 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $436.52 Typical High $1,621.81 | Facility | None | $169.82 | $436.52 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $478.63 Typical High $977.24 | Professional | None | $117.49 | $478.63 | $977.24 |
ConnectiCare Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $707.95 | Professional | None | $281.84 | $457.09 | $707.95 |
United Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $562.34 | Professional | None | $154.88 | $263.03 | $562.34 |
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 $47.86 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $23.44 | $24.55 |
Where Connecticut sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 46th of 51
$263
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.