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 $95.50 Median $100.00 Typical High $102.33 | Professional | None | $95.50 | $100.00 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $316.23 | Facility | None | $114.82 | $165.96 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $190.55 | Professional | None | $64.57 | $75.86 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $467.74 | Facility | None | $114.82 | $204.17 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $288.40 | Professional | None | $74.13 | $162.18 | $288.40 |
ConnectiCare Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $204.17 | Professional | None | $125.89 | $169.82 | $204.17 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $165.96 | Professional | None | $53.70 | $75.86 | $165.96 |
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 $47.86 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $19.95 | $20.42 |
Where Connecticut sits
The same service costs 4.6 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· 34th of 51
$120
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.