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 $131.83 Median $158.49 Typical High $158.49 | Professional | None | $131.83 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $436.52 | Facility | None | $107.15 | $218.78 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $213.80 | Professional | None | $91.20 | $107.15 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $707.95 | Facility | None | $177.83 | $281.84 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $436.52 | Professional | None | $117.49 | $229.09 | $436.52 |
ConnectiCare Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $288.40 | Professional | None | $173.78 | $234.42 | $288.40 |
United Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $245.47 | Professional | None | $74.13 | $109.65 | $245.47 |
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 $66.07 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $31.62 | $31.62 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$158
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.