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 $81.28 Median $97.72 Typical High $97.72 | Professional | None | $81.28 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $269.15 | Facility | None | $58.88 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $117.49 | Professional | None | $52.48 | $66.07 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $436.52 | Facility | None | $109.65 | $173.78 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $269.15 | Professional | None | $72.44 | $138.04 | $269.15 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $177.83 | Professional | None | $107.15 | $144.54 | $177.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $151.36 | Professional | None | $45.71 | $67.61 | $151.36 |
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 $40.74 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.50 | $19.50 |
Where Connecticut sits
The same service costs 3.9 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· 36th of 51
$89.13
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.