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 $147.91 Median $181.97 Typical High $181.97 | Professional | None | $147.91 | $181.97 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $489.78 | Facility | None | $107.15 | $218.78 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $213.80 | Professional | None | $95.50 | $120.23 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $812.83 | Facility | None | $199.53 | $323.59 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $501.19 | Professional | None | $131.83 | $257.04 | $501.19 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $323.59 | Professional | None | $199.53 | $269.15 | $323.59 |
Health New England Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $275.42 | Professional | None | $85.11 | $123.03 | $275.42 |
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 $75.86 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $36.31 | $36.31 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 50th of 51
$148
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.