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 $229.09 Median $288.40 Typical High $288.40 | Professional | None | $229.09 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $323.59 Typical High $588.84 | Facility | None | $97.72 | $323.59 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $218.78 | Professional | None | $89.13 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $831.76 | Facility | None | $208.93 | $371.54 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $602.56 | Professional | None | $138.04 | $288.40 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $331.13 | Professional | None | $204.17 | $275.42 | $331.13 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $426.58 | Professional | None | $87.10 | $131.83 | $426.58 |
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 $114.82 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $57.54 | $57.54 |
Where Connecticut sits
The same service costs 3.4 times more in Texas than in Ohio. 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· 39th of 51
$182
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.