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 $32.36 Median $39.81 Typical High $51.29 | Professional | None | $32.36 | $39.81 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $75.86 Typical High $162.18 | Facility | None | $39.81 | $75.86 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $72.44 | Professional | None | $33.11 | $38.90 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $97.72 Typical High $239.88 | Facility | None | $45.71 | $97.72 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $147.91 | Professional | None | $36.31 | $81.28 | $147.91 |
ConnectiCare Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $104.71 | Professional | None | $64.57 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $83.18 | Professional | None | $27.54 | $38.90 | $83.18 |
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 $19.50 Median $19.50 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.32 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 47th of 51
$47.86
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.