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 $70.79 Median $85.11 Typical High $91.20 | Professional | None | $70.79 | $85.11 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $316.23 Typical High $794.33 | Facility | None | $79.43 | $316.23 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $173.78 Typical High $309.03 | Professional | None | $72.44 | $173.78 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $1,230.27 | Facility | None | $125.89 | $338.84 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $371.54 Typical High $758.58 | Professional | None | $87.10 | $371.54 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $549.54 | Professional | None | $162.18 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $436.52 | Professional | None | $117.49 | $204.17 | $436.52 |
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 $35.48 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $16.98 | $18.20 |
Where Connecticut sits
The same service costs 6.6 times more in Texas 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
$174
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.