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 $35.48 Median $45.71 Typical High $54.95 | Professional | None | $35.48 | $45.71 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $87.10 | Facility | None | $30.20 | $50.12 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $38.90 | Professional | None | $15.14 | $21.38 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $46.77 Typical High $151.36 | Facility | None | $24.55 | $46.77 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $61.66 | Professional | None | $32.36 | $45.71 | $61.66 |
ConnectiCare Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $61.66 | Professional | None | $20.89 | $28.18 | $61.66 |
Health New England Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $17.78 Median $33.11 Typical High $64.57 | Professional | None | $17.78 | $33.11 | $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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Connecticut sits
The same service costs 4.5 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· 34th of 51
$35.48
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.