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 $34.67 Median $38.90 Typical High $38.90 | Professional | None | $34.67 | $38.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $114.82 | Facility | None | $43.65 | $63.10 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $61.66 | Professional | None | $20.89 | $28.18 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $169.82 | Facility | None | $44.67 | $74.13 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $107.15 | Professional | None | $28.18 | $60.26 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $123.03 | Professional | None | $45.71 | $63.10 | $123.03 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $61.66 | Professional | None | $19.50 | $28.18 | $61.66 |
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 $17.38 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.92 | $7.76 | $7.76 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 38th of 51
$38.90
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.