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 $35.48 Median $35.48 Typical High $38.02 | Professional | None | $35.48 | $35.48 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $85.11 Typical High $181.97 | Facility | None | $40.74 | $85.11 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $61.66 | Professional | None | $33.88 | $46.77 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $79.43 Typical High $281.84 | Facility | None | $46.77 | $79.43 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $114.82 | Professional | None | $32.36 | $52.48 | $114.82 |
ConnectiCare Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $104.71 | Professional | None | $44.67 | $47.86 | $104.71 |
United Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $138.04 | Professional | None | $27.54 | $46.77 | $138.04 |
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 $17.78 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.59 |
Where Connecticut sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 42nd of 51
$52.48
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.