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 $37.15 Median $44.67 Typical High $44.67 | Professional | None | $37.15 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $123.03 | Facility | None | $48.98 | $67.61 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $81.28 | Professional | None | $25.12 | $29.51 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $199.53 | Facility | None | $50.12 | $79.43 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $123.03 | Professional | None | $32.36 | $63.10 | $123.03 |
ConnectiCare Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $79.43 | Professional | None | $48.98 | $66.07 | $79.43 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $67.61 | Professional | None | $20.89 | $30.20 | $67.61 |
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 $18.62 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.91 | $8.91 |
Where Connecticut sits
The same service costs 5.8 times more in Texas 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· 26th of 51
$50.12
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.