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 $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $562.34 | Facility | None | $120.23 | $263.03 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $338.84 | Professional | None | $107.15 | $141.25 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $870.96 | Facility | None | $154.88 | $263.03 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $257.04 Typical High $537.03 | Professional | None | $107.15 | $257.04 | $537.03 |
ConnectiCare Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $512.86 | Professional | None | $234.42 | $316.23 | $512.86 |
United Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $302.00 | Professional | None | $97.72 | $141.25 | $302.00 |
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 $53.70 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $53.70 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $21.38 | $22.39 |
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· 27th of 51
$200
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.