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 $52.48 Median $58.88 Typical High $58.88 | Professional | None | $52.48 | $58.88 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $162.18 | Facility | None | $67.61 | $89.13 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $91.20 | Professional | None | $32.36 | $38.90 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $102.33 Typical High $234.42 | Facility | None | $42.66 | $102.33 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $104.71 | Professional | None | $43.65 | $67.61 | $104.71 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $95.50 | Professional | None | $38.02 | $52.48 | $95.50 |
United Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $114.82 | Professional | None | $32.36 | $47.86 | $114.82 |
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 $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $26.30 | $29.51 | $29.51 |
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 3.0 times more in Alaska than in Alabama. 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· 28th of 51
$61.66
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.