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 $117.49 Median $144.54 Typical High $177.83 | Professional | None | $117.49 | $144.54 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $537.03 | Facility | None | $162.18 | $269.15 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $223.87 | Professional | None | $95.50 | $131.83 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $794.33 | Facility | None | $117.49 | $346.74 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $380.19 | Professional | None | $144.54 | $239.88 | $380.19 |
ConnectiCare Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $316.23 | Professional | None | $102.33 | $154.88 | $316.23 |
Health New England Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $380.19 | Professional | None | $109.65 | $154.88 | $380.19 |
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 $72.44 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 43rd of 51
$162
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.