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 $69.18 Median $69.18 Typical High $89.13 | Professional | None | $69.18 | $69.18 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $69.18 Typical High $147.91 | Facility | None | $32.36 | $69.18 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $64.57 | Professional | None | $27.54 | $32.36 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $234.42 | Facility | None | $51.29 | $102.33 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $81.28 Typical High $144.54 | Professional | None | $35.48 | $81.28 | $144.54 |
ConnectiCare Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $302.00 | Professional | None | $63.10 | $85.11 | $302.00 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $81.28 | Professional | None | $26.92 | $38.02 | $81.28 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
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· 49th of 51
$44.67
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.