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 $57.54 Median $57.54 Typical High $61.66 | Professional | None | $57.54 | $57.54 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $263.03 | Facility | None | $66.07 | $123.03 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $100.00 | Professional | None | $45.71 | $63.10 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $380.19 | Facility | None | $69.18 | $128.82 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $154.88 | Professional | None | $52.48 | $77.62 | $154.88 |
ConnectiCare Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $141.25 | Professional | None | $63.10 | $74.13 | $141.25 |
United Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $186.21 | Professional | None | $44.67 | $67.61 | $186.21 |
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 $28.84 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.30 |
Where Connecticut sits
The same service costs 6.2 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· 46th of 51
$75.86
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.