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 $77.62 Median $93.33 Typical High $169.82 | Professional | None | $77.62 | $93.33 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $354.81 | Facility | None | $107.15 | $177.83 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $173.78 | Professional | None | $64.57 | $85.11 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $707.95 | Facility | None | $229.09 | $426.58 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $295.12 | Professional | None | $81.28 | $165.96 | $295.12 |
ConnectiCare Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $229.09 | Professional | None | $141.25 | $190.55 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $190.55 | Professional | None | $60.26 | $85.11 | $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 $38.90 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $18.62 | $19.95 |
Where Connecticut sits
The same service costs 5.1 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· 30th of 51
$120
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.