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 $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $141.25 | Facility | None | $48.98 | $74.13 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $91.20 | Professional | None | $28.84 | $33.88 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $208.93 | Facility | None | $57.54 | $97.72 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $72.44 Typical High $128.82 | Professional | None | $32.36 | $72.44 | $128.82 |
ConnectiCare Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $208.93 | Professional | None | $56.23 | $75.86 | $208.93 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $72.44 | Professional | None | $23.99 | $33.88 | $72.44 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 24th of 51
$61.66
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.