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 $165.96 Median $199.53 Typical High $199.53 | Professional | None | $165.96 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $549.54 | Facility | None | $134.90 | $302.00 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $269.15 | Professional | None | $112.20 | $131.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $891.25 | Facility | None | $218.78 | $354.81 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $549.54 | Professional | None | $144.54 | $281.84 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $354.81 | Professional | None | $218.78 | $295.12 | $354.81 |
United Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $302.00 | Professional | None | $93.33 | $134.90 | $302.00 |
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 $83.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
Where Connecticut sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 36th of 51
$200
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.