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 $288.40 Median $323.59 Typical High $323.59 | Professional | None | $288.40 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $891.25 | Facility | None | $371.54 | $501.19 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $489.78 | Professional | None | $177.83 | $213.80 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $575.44 Typical High $1,318.26 | Facility | None | $234.42 | $575.44 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $575.44 | Professional | None | $239.88 | $323.59 | $575.44 |
ConnectiCare Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $524.81 | Professional | None | $208.93 | $288.40 | $524.81 |
United Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $630.96 | Professional | None | $177.83 | $295.12 | $630.96 |
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 $144.54 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $64.57 | $64.57 |
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· 27th of 51
$339
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.