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 $34.67 Median $74.13 Typical High $346.74 | Professional | None | $34.67 | $74.13 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $173.78 | Facility | None | $67.61 | $97.72 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $41.69 Typical High $51.29 | Professional | None | $27.54 | $41.69 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $251.19 | Facility | None | $45.71 | $109.65 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $120.23 | Professional | None | $46.77 | $79.43 | $120.23 |
ConnectiCare Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $91.20 | Professional | None | $32.36 | $48.98 | $91.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $123.03 | Professional | None | $29.51 | $45.71 | $123.03 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 47th of 51
$51.29
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.