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 $74.13 Median $89.13 Typical High $95.50 | Professional | None | $74.13 | $89.13 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $338.84 | Facility | None | $102.33 | $169.82 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $177.83 | Professional | None | $61.66 | $81.28 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $501.19 | Facility | None | $138.04 | $218.78 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $281.84 | Professional | None | $75.86 | $154.88 | $281.84 |
ConnectiCare Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $218.78 | Professional | None | $134.90 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $173.78 | Professional | None | $57.54 | $81.28 | $173.78 |
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 $37.15 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $18.20 | $19.05 |
Where Connecticut sits
The same service costs 5.5 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· 29th of 51
$129
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.