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 $204.17 Median $245.47 Typical High $263.03 | Professional | None | $204.17 | $245.47 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $933.25 | Facility | None | $281.84 | $467.74 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $489.78 | Professional | None | $169.82 | $223.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,380.38 | Facility | None | $371.54 | $602.56 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $416.87 Typical High $758.58 | Professional | None | $208.93 | $416.87 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $602.56 | Professional | None | $371.54 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $478.63 | Professional | None | $158.49 | $223.87 | $478.63 |
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 $102.33 Median $123.03 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $40.74 | $48.98 | $52.48 |
Where Connecticut sits
The same service costs 4.9 times more in Alaska 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· 30th of 51
$347
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.