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 $263.03 Median $288.40 Typical High $288.40 | Professional | None | $263.03 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $794.33 | Facility | None | $331.13 | $446.68 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $446.68 | Professional | None | $158.49 | $194.98 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $1,174.90 | Facility | None | $213.80 | $512.86 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $524.81 | Professional | None | $213.80 | $288.40 | $524.81 |
ConnectiCare Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $478.63 | Professional | None | $190.55 | $257.04 | $478.63 |
United Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $562.34 | Professional | None | $162.18 | $269.15 | $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 $131.83 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $58.88 | $58.88 |
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· 24th of 51
$324
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.