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 $33.88 Median $57.54 Typical High $77.62 | Professional | None | $33.88 | $57.54 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $158.49 | Facility | None | $66.07 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $91.20 | Professional | None | $31.62 | $38.90 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $102.33 Typical High $323.59 | Facility | None | $42.66 | $102.33 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $104.71 | Professional | None | $42.66 | $67.61 | $104.71 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $95.50 | Professional | None | $38.02 | $51.29 | $95.50 |
United Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $131.83 | Professional | None | $32.36 | $56.23 | $131.83 |
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 $26.30 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $26.30 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.47 | $11.75 | $11.75 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 31st of 51
$64.57
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.