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 $154.88 Median $186.21 Typical High $199.53 | Professional | None | $154.88 | $186.21 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $707.95 | Facility | None | $213.80 | $354.81 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $363.08 | Professional | None | $125.89 | $169.82 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $1,023.29 | Facility | None | $281.84 | $446.68 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $575.44 | Professional | None | $154.88 | $316.23 | $575.44 |
ConnectiCare Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $457.09 | Professional | None | $281.84 | $380.19 | $457.09 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $363.08 | Professional | None | $117.49 | $169.82 | $363.08 |
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 $77.62 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $77.62 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $39.81 | Professional | 53 · Discontinued | $30.90 | $37.15 | $39.81 |
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· 31st of 51
$263
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.