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 $186.21 | Professional | None | $154.88 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $575.44 | Facility | None | $117.49 | $269.15 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $851.14 | Professional | None | $104.71 | $125.89 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $831.76 | Facility | None | $208.93 | $331.13 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $512.86 | Professional | None | $138.04 | $263.03 | $512.86 |
ConnectiCare Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $338.84 | Professional | None | $204.17 | $275.42 | $338.84 |
United Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $281.84 | Professional | None | $87.10 | $128.82 | $281.84 |
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 $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $37.15 | $37.15 |
Where Connecticut sits
The same service costs 5.1 times more in California than in Delaware. 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· 37th of 51
$186
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.