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 $257.04 Median $309.03 Typical High $380.19 | Professional | None | $257.04 | $309.03 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $912.01 | Facility | None | $354.81 | $537.03 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $891.25 | Professional | None | $177.83 | $208.93 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,380.38 | Facility | None | $346.74 | $549.54 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $851.14 | Professional | None | $229.09 | $446.68 | $851.14 |
ConnectiCare Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $562.34 | Professional | None | $338.84 | $457.09 | $562.34 |
United Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $478.63 | Professional | None | $144.54 | $213.80 | $478.63 |
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 $128.82 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $61.66 | $61.66 |
Where Connecticut sits
The same service costs 4.6 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· 25th 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.