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 $30.90 Median $30.90 Typical High $44.67 | Professional | None | $30.90 | $30.90 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $151.36 | Facility | None | $35.48 | $69.18 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $53.70 | Professional | None | $26.92 | $37.15 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $67.61 Typical High $223.87 | Facility | None | $39.81 | $67.61 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $89.13 | Professional | None | $28.18 | $41.69 | $89.13 |
ConnectiCare Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $81.28 | Professional | None | $36.31 | $41.69 | $81.28 |
United Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $107.15 | Professional | None | $21.38 | $37.15 | $107.15 |
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 $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.61 |
Where Connecticut sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 43rd of 51
$42.66
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.