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 $104.71 Median $125.89 Typical High $134.90 | Professional | None | $104.71 | $125.89 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $478.63 | Facility | None | $144.54 | $239.88 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $245.47 | Professional | None | $87.10 | $114.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $977.24 | Facility | None | $309.03 | $575.44 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $223.87 Typical High $398.11 | Professional | None | $109.65 | $223.87 | $398.11 |
ConnectiCare Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $309.03 | Professional | None | $190.55 | $257.04 | $309.03 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $245.47 | Professional | None | $81.28 | $114.82 | $245.47 |
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 $52.48 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $25.70 | $26.92 |
Where Connecticut sits
The same service costs 8.3 times more in Texas 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· 32nd of 51
$174
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.