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 $114.82 Typical High $123.03 | Professional | None | $95.50 | $114.82 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $436.52 | Facility | None | $131.83 | $218.78 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $223.87 | Professional | None | $79.43 | $104.71 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $630.96 | Facility | None | $173.78 | $275.42 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $354.81 | Professional | None | $95.50 | $194.98 | $354.81 |
ConnectiCare Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $281.84 | Professional | None | $173.78 | $234.42 | $281.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $223.87 | Professional | None | $74.13 | $104.71 | $223.87 |
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 $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $22.91 | $24.55 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska 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· 32nd of 51
$162
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.