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 $20.89 Median $31.62 Typical High $31.62 | Professional | None | $20.89 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $60.26 | Facility | None | $22.39 | $33.11 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $31.62 | Professional | None | $13.80 | $18.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $44.67 Typical High $154.88 | Facility | None | $14.79 | $44.67 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $53.70 | Professional | None | $16.98 | $27.54 | $53.70 |
ConnectiCare Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $61.66 | Professional | None | $17.78 | $22.39 | $61.66 |
Health New England Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $269.15 | Facility | None | $109.65 | $109.65 | $269.15 |
United Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $64.57 | Professional | None | $16.22 | $30.20 | $64.57 |
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 $13.49 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $13.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 37th of 51
$26.92
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.