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 $61.66 Median $83.18 Typical High $128.82 | Professional | None | $61.66 | $83.18 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $100.00 Typical High $229.09 | Facility | None | $45.71 | $100.00 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $107.15 | Professional | None | $41.69 | $54.95 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $363.08 | Facility | None | $91.20 | $144.54 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $117.49 Typical High $229.09 | Professional | None | $60.26 | $117.49 | $229.09 |
ConnectiCare Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $147.91 | Professional | None | $91.20 | $123.03 | $147.91 |
Health New England Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $125.89 | Professional | None | $38.90 | $56.23 | $125.89 |
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 $33.88 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $16.60 | $16.60 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 51st of 51
$63.10
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.