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 $51.29 Median $61.66 Typical High $64.57 | Professional | None | $51.29 | $61.66 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $398.11 Typical High $870.96 | Facility | None | $87.10 | $398.11 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $416.87 | Professional | None | $162.18 | $190.55 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $371.54 Typical High $1,380.38 | Facility | None | $91.20 | $371.54 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $407.38 Typical High $831.76 | Professional | None | $61.66 | $407.38 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $389.05 Typical High $602.56 | Professional | None | $177.83 | $389.05 | $602.56 |
United Setting Professional Modifier None Typical Low $93.33 Median $223.87 Typical High $478.63 | Professional | None | $93.33 | $223.87 | $478.63 |
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 $25.12 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.23 | $12.30 | $12.88 |
Where Connecticut sits
The same service costs 10.2 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· 41st of 51
$209
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.