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 $134.90 Median $162.18 Typical High $173.78 | Professional | None | $134.90 | $162.18 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $169.82 Typical High $575.44 | Facility | None | $43.65 | $169.82 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $125.89 Typical High $316.23 | Professional | None | $44.67 | $125.89 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $891.25 | Facility | None | $190.55 | $389.05 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $309.03 Typical High $549.54 | Professional | None | $138.04 | $309.03 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $398.11 | Professional | None | $245.47 | $323.59 | $398.11 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $316.23 | Professional | None | $104.71 | $147.91 | $316.23 |
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 $67.61 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $67.61 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $32.36 | $34.67 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 51st of 51
$148
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.