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 $104.71 Median $104.71 Typical High $239.88 | Professional | None | $104.71 | $104.71 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $758.58 | Facility | None | $134.90 | $309.03 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $239.88 | Professional | None | $131.83 | $165.96 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $1,174.90 | Facility | None | $151.36 | $323.59 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $218.78 Typical High $478.63 | Professional | None | $93.33 | $218.78 | $478.63 |
ConnectiCare Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $436.52 | Professional | None | $151.36 | $190.55 | $436.52 |
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 $95.50 Median $194.98 Typical High $575.44 | Professional | None | $95.50 | $194.98 | $575.44 |
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 $52.48 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.88 |
Where Connecticut sits
The same service costs 8.9 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.