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 $46.77 Median $47.86 Typical High $53.70 | Professional | None | $46.77 | $47.86 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $177.83 | Facility | None | $53.70 | $89.13 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $79.43 | Professional | None | $31.62 | $43.65 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $263.03 | Facility | None | $46.77 | $93.33 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $112.20 | Professional | None | $39.81 | $64.57 | $112.20 |
ConnectiCare Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $95.50 | Professional | None | $42.66 | $57.54 | $95.50 |
United Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $125.89 | Professional | None | $30.20 | $47.86 | $125.89 |
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 $23.99 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $23.99 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.00 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$53.70
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.