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 $20.42 Median $34.67 Typical High $40.74 | Professional | None | $20.42 | $34.67 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $95.50 | Facility | None | $39.81 | $52.48 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $53.70 | Professional | None | $19.05 | $22.91 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $61.66 Typical High $141.25 | Facility | None | $26.92 | $61.66 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $63.10 | Professional | None | $25.70 | $40.74 | $63.10 |
ConnectiCare Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $56.23 | Professional | None | $22.91 | $30.90 | $56.23 |
Health New England Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $223.87 | Facility | None | $128.82 | $138.04 | $223.87 |
United Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $67.61 | Professional | None | $19.05 | $33.88 | $67.61 |
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 $15.49 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.92 | $6.92 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 36th of 51
$36.31
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.