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 $144.54 Median $173.78 Typical High $186.21 | Professional | None | $144.54 | $173.78 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $645.65 | Facility | None | $194.98 | $323.59 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $295.12 | Professional | None | $117.49 | $158.49 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $1,318.26 | Facility | None | $416.87 | $794.33 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $549.54 | Professional | None | $147.91 | $302.00 | $549.54 |
ConnectiCare Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $426.58 | Professional | None | $263.03 | $346.74 | $426.58 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $338.84 | Professional | None | $109.65 | $158.49 | $338.84 |
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 $72.44 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $72.44 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $34.67 | $37.15 |
Where Connecticut sits
The same service costs 3.7 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· 40th of 51
$209
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.