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 $165.96 Median $199.53 Typical High $208.93 | Professional | None | $165.96 | $199.53 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $741.31 | Facility | None | $223.87 | $371.54 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $389.05 | Professional | None | $134.90 | $181.97 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,096.48 | Facility | None | $302.00 | $478.63 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $616.60 | Professional | None | $165.96 | $338.84 | $616.60 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $489.78 | Professional | None | $295.12 | $398.11 | $489.78 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $389.05 | Professional | None | $125.89 | $181.97 | $389.05 |
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 $81.28 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $33.11 | $39.81 | $42.66 |
Where Connecticut sits
The same service costs 4.7 times more in Texas than in Alabama. 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· 30th of 51
$282
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.