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 $87.10 Median $107.15 Typical High $112.20 | Professional | None | $87.10 | $107.15 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $288.40 Typical High $724.44 | Facility | None | $79.43 | $288.40 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $158.49 Typical High $331.13 | Professional | None | $70.79 | $158.49 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $309.03 Typical High $1,122.02 | Facility | None | $154.88 | $309.03 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $338.84 Typical High $691.83 | Professional | None | $107.15 | $338.84 | $691.83 |
ConnectiCare Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $501.19 | Professional | None | $302.00 | $407.38 | $501.19 |
United Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $398.11 | Professional | None | $107.15 | $186.21 | $398.11 |
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 $43.65 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $43.65 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $17.38 | $21.38 | $22.39 |
Where Connecticut sits
The same service costs 5.9 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· 49th of 51
$162
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.