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 $218.78 Median $263.03 Typical High $263.03 | Professional | None | $218.78 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $724.44 | Facility | None | $141.25 | $331.13 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $323.59 | Professional | None | $131.83 | $173.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $1,174.90 | Facility | None | $295.12 | $467.74 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $724.44 | Professional | None | $194.98 | $380.19 | $724.44 |
ConnectiCare Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $478.63 | Professional | None | $288.40 | $389.05 | $478.63 |
United Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $407.38 | Professional | None | $123.03 | $181.97 | $407.38 |
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 $109.65 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $53.70 | $53.70 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Alabama. 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
$214
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.