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 $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $741.31 | Facility | None | $190.55 | $354.81 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $478.63 | Professional | None | $134.90 | $181.97 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $1,096.48 | Facility | None | $251.19 | $478.63 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $389.05 Typical High $676.08 | Professional | None | $169.82 | $389.05 | $676.08 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $630.96 | Professional | None | $295.12 | $398.11 | $630.96 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $389.05 | Professional | None | $125.89 | $181.97 | $389.05 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
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· 33rd of 51
$263
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.