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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $371.54 | Facility | None | $93.33 | $177.83 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $158.49 | Professional | None | $67.61 | $91.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $549.54 | Facility | None | $125.89 | $239.88 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $190.55 Typical High $338.84 | Professional | None | $83.18 | $190.55 | $338.84 |
ConnectiCare Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $245.47 | Professional | None | $147.91 | $199.53 | $245.47 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $190.55 | Professional | None | $63.10 | $91.20 | $190.55 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Where Connecticut sits
The same service costs 5.4 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· 35th of 51
$123
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.