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 $9.12 Median $58.88 Typical High $131.83 | Professional | None | $9.12 | $58.88 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $144.54 Typical High $398.11 | Facility | None | $42.66 | $144.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $141.25 | Professional | None | $63.10 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $208.93 Typical High $616.60 | Facility | None | $109.65 | $208.93 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $213.80 Typical High $380.19 | Professional | None | $93.33 | $213.80 | $380.19 |
ConnectiCare Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $275.42 | Professional | None | $165.96 | $223.87 | $275.42 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $213.80 | Professional | None | $70.79 | $102.33 | $213.80 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Where Connecticut sits
The same service costs 5.5 times more in Texas 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
$85.11
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.