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 $32.36 Median $35.48 Typical High $35.48 | Professional | None | $32.36 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $158.49 | Facility | None | $40.74 | $75.86 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $58.88 | Professional | None | $27.54 | $38.90 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $229.09 | Facility | None | $41.69 | $79.43 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $51.29 Typical High $93.33 | Professional | None | $31.62 | $51.29 | $93.33 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $85.11 | Professional | None | $38.02 | $44.67 | $85.11 |
United Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $112.20 | Professional | None | $22.39 | $38.90 | $112.20 |
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 6.0 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· 46th of 51
$44.67
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.