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 $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $177.83 | Facility | None | $53.70 | $87.10 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $77.62 | Professional | None | $30.90 | $42.66 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $257.04 | Facility | None | $46.77 | $91.20 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $109.65 | Professional | None | $41.69 | $63.10 | $109.65 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $93.33 | Professional | None | $41.69 | $57.54 | $93.33 |
United Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $125.89 | Professional | None | $35.48 | $45.71 | $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 $23.44 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $23.44 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.00 |
Where Connecticut sits
The same service costs 3.5 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· 40th 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.