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 $47.86 Median $72.44 Typical High $72.44 | Professional | None | $47.86 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $234.42 | Facility | None | $83.18 | $125.89 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $114.82 | Professional | None | $41.69 | $57.54 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $346.74 | Facility | None | $63.10 | $134.90 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $147.91 | Professional | None | $61.66 | $85.11 | $147.91 |
ConnectiCare Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $125.89 | Professional | None | $56.23 | $75.86 | $125.89 |
United Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $165.96 | Professional | None | $47.86 | $66.07 | $165.96 |
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 $36.31 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $14.45 | $14.45 | $15.14 |
Where Connecticut sits
The same service costs 5.4 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· 31st of 51
$83.18
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.