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 $194.98 Median $234.42 Typical High $234.42 | Professional | None | $194.98 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $616.60 | Facility | None | $125.89 | $309.03 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $501.19 | Professional | None | $131.83 | $154.88 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $1,047.13 | Facility | None | $263.03 | $416.87 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $645.65 | Professional | None | $169.82 | $331.13 | $645.65 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $416.87 | Professional | None | $257.04 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $354.81 | Professional | None | $109.65 | $158.49 | $354.81 |
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 $97.72 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $46.77 | $46.77 |
Where Connecticut sits
The same service costs 3.4 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· 37th of 51
$234
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.