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 $45.71 Median $54.95 Typical High $58.88 | Professional | None | $45.71 | $54.95 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $467.74 | Facility | None | $63.10 | $134.90 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | None | $83.18 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $190.55 Typical High $707.95 | Facility | None | $72.44 | $190.55 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $389.05 | Professional | None | $45.71 | $107.15 | $389.05 |
ConnectiCare Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $309.03 | Professional | None | $112.20 | $199.53 | $309.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $245.47 | Professional | None | $51.29 | $114.82 | $245.47 |
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 $22.91 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $9.12 | $10.96 | $11.75 |
Where Connecticut sits
The same service costs 5.4 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· 48th of 51
$105
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.