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 $158.49 Median $190.55 Typical High $288.40 | Professional | None | $158.49 | $190.55 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Facility | None | $218.78 | $338.84 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $323.59 | Professional | None | $117.49 | $158.49 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $954.99 | Facility | None | $223.87 | $416.87 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $537.03 | Professional | None | $162.18 | $288.40 | $537.03 |
ConnectiCare Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $457.09 | Professional | None | $263.03 | $346.74 | $457.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $346.74 | Professional | None | $109.65 | $158.49 | $346.74 |
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 $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $38.90 | $38.90 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 25th of 51
$245
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.