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 $371.54 Median $1,000.00 Typical High $1,174.90 | Professional | None | $371.54 | $1,000.00 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,412.54 | Facility | None | $537.03 | $912.01 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $1,318.26 | Professional | None | $223.87 | $302.00 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $741.31 Typical High $1,819.70 | Facility | None | $346.74 | $741.31 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $676.08 Typical High $1,122.02 | Professional | None | $331.13 | $676.08 | $1,122.02 |
ConnectiCare Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $2,290.87 | Professional | None | $489.78 | $660.69 | $2,290.87 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $645.65 | Professional | None | $208.93 | $302.00 | $645.65 |
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 $275.42 Median $275.42 Typical High $426.58 | Professional | 52 · Reduced service | $275.42 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | 53 · Discontinued | $109.65 | $109.65 | $169.82 |
Where Connecticut sits
The same service costs 3.8 times more in California than in Oklahoma. 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· 11th of 51
$661
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.