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 $177.83 Median $218.78 Typical High $229.09 | Professional | None | $177.83 | $218.78 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $1,000.00 | Facility | None | $245.47 | $446.68 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $524.81 | Professional | None | $181.97 | $245.47 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $1,479.11 | Facility | None | $263.03 | $537.03 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $489.78 Typical High $912.01 | Professional | None | $218.78 | $489.78 | $912.01 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $660.69 | Professional | None | $398.11 | $537.03 | $660.69 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $512.86 | Professional | None | $169.82 | $245.47 | $512.86 |
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 $89.13 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $43.65 | $45.71 |
Where Connecticut sits
The same service costs 7.4 times more in Texas 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· 33rd of 51
$331
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.