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 $199.53 Median $199.53 Typical High $208.93 | Professional | None | $199.53 | $199.53 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $1,000.00 | Facility | None | $229.09 | $457.09 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $562.34 | Professional | None | $204.17 | $239.88 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $1,479.11 | Facility | None | $263.03 | $489.78 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $467.74 Typical High $912.01 | Professional | None | $199.53 | $467.74 | $912.01 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $645.65 | Professional | None | $398.11 | $537.03 | $645.65 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $512.86 | Professional | None | $169.82 | $239.88 | $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 $100.00 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $39.81 | $39.81 | $41.69 |
Where Connecticut sits
The same service costs 5.2 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· 40th of 51
$302
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.