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 $44.67 Median $44.67 Typical High $91.20 | Professional | None | $44.67 | $44.67 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $154.88 | Facility | None | $30.90 | $67.61 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $70.79 | Professional | None | $30.90 | $39.81 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $104.71 Typical High $239.88 | Facility | None | $51.29 | $104.71 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $83.18 Typical High $147.91 | Professional | None | $36.31 | $83.18 | $147.91 |
ConnectiCare Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $107.15 | Professional | None | $64.57 | $87.10 | $107.15 |
Health New England Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $83.18 | Professional | None | $27.54 | $39.81 | $83.18 |
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 $22.39 Median $22.39 Typical High $23.44 | Professional | 52 · Reduced service | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 53 · Discontinued | $8.91 | $8.91 | $9.33 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 50th of 51
$44.67
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.