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 $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $602.56 | Facility | None | $245.47 | $338.84 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $363.08 | Professional | None | $123.03 | $144.54 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $977.24 | Facility | None | $239.88 | $323.59 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $602.56 | Professional | None | $162.18 | $263.03 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $512.86 | Professional | None | $239.88 | $354.81 | $512.86 |
United Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $331.13 | Professional | None | $102.33 | $147.91 | $331.13 |
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 $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $43.65 | $43.65 |
Where Connecticut sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 24th of 51
$245
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.