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 $117.49 Median $117.49 Typical High $125.89 | Professional | None | $117.49 | $117.49 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $33.88 Typical High $194.98 | Facility | None | $15.14 | $33.88 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $40.74 Typical High $54.95 | Professional | None | $10.47 | $40.74 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $323.59 | Facility | None | $72.44 | $104.71 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $138.04 | Professional | None | $87.10 | $104.71 | $138.04 |
ConnectiCare Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $144.54 | Professional | None | $56.23 | $63.10 | $144.54 |
United Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $204.17 | Professional | None | $48.98 | $77.62 | $204.17 |
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 $58.88 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $23.44 | $25.12 |
Where Connecticut sits
The same service costs 24.0 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· 45th of 51
$47.86
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.