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 $40.74 Median $50.12 Typical High $52.48 | Professional | None | $40.74 | $50.12 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $91.20 Typical High $181.97 | Facility | None | $56.23 | $91.20 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $93.33 | Professional | None | $37.15 | $43.65 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $269.15 | Facility | None | $74.13 | $117.49 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $151.36 | Professional | None | $41.69 | $85.11 | $151.36 |
ConnectiCare Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $117.49 | Professional | None | $72.44 | $97.72 | $117.49 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $93.33 | Professional | None | $30.90 | $43.65 | $93.33 |
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 $20.42 Median $24.55 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $10.00 | $10.47 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 33rd 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.