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 $109.65 Median $131.83 Typical High $141.25 | Professional | None | $109.65 | $131.83 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $501.19 | Facility | None | $151.36 | $251.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $263.03 | Professional | None | $91.20 | $120.23 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $741.31 | Facility | None | $204.17 | $323.59 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $416.87 | Professional | None | $112.20 | $223.87 | $416.87 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $323.59 | Professional | None | $199.53 | $269.15 | $323.59 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $257.04 | Professional | None | $85.11 | $120.23 | $257.04 |
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 $54.95 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $26.92 | $28.18 |
Where Connecticut sits
The same service costs 3.8 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· 33rd of 51
$191
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.