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 $91.20 Median $109.65 Typical High $114.82 | Professional | None | $91.20 | $109.65 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $389.05 | Facility | None | $79.43 | $177.83 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $213.80 | Professional | None | $74.13 | $89.13 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $602.56 | Facility | None | $125.89 | $263.03 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $371.54 | Professional | None | $91.20 | $208.93 | $371.54 |
ConnectiCare Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $269.15 | Professional | None | $162.18 | $218.78 | $269.15 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $213.80 | Professional | None | $69.18 | $100.00 | $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 $44.67 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $21.88 | $22.91 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 48th of 51
$112
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.