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 $302.00 Median $363.08 Typical High $363.08 | Professional | None | $302.00 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $549.54 Typical High $1,000.00 | Facility | None | $257.04 | $549.54 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $467.74 | Professional | None | $204.17 | $239.88 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,621.81 | Facility | None | $398.11 | $645.65 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $1,000.00 | Professional | None | $263.03 | $512.86 | $1,000.00 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $645.65 | Professional | None | $398.11 | $537.03 | $645.65 |
Health New England Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $549.54 | Professional | None | $169.82 | $245.47 | $549.54 |
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 $147.91 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $60.26 | $72.44 | $72.44 |
Where Connecticut sits
The same service costs 3.8 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· 38th of 51
$363
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.