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 $114.82 Median $114.82 Typical High $239.88 | Professional | None | $114.82 | $114.82 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $758.58 | Facility | None | $144.54 | $309.03 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $239.88 | Professional | None | $128.82 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,174.90 | Facility | None | $169.82 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $467.74 | Professional | None | $102.33 | $213.80 | $467.74 |
ConnectiCare Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $426.58 | Professional | None | $151.36 | $190.55 | $426.58 |
Health New England Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $562.34 | Professional | None | $104.71 | $194.98 | $562.34 |
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 $57.54 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Where Connecticut sits
The same service costs 7.9 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· 45th of 51
$195
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.