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 $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $204.17 | Facility | None | $46.77 | $95.50 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $97.72 | Professional | None | $39.81 | $52.48 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $323.59 | Facility | None | $57.54 | $107.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $112.20 Typical High $199.53 | Professional | None | $48.98 | $112.20 | $199.53 |
ConnectiCare Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $141.25 | Professional | None | $87.10 | $117.49 | $141.25 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $112.20 | Professional | None | $37.15 | $52.48 | $112.20 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 44th of 51
$63.10
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.