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 $26.30 Median $31.62 Typical High $31.62 | Professional | None | $26.30 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $87.10 | Facility | None | $36.31 | $47.86 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $60.26 | Professional | None | $17.78 | $20.89 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $144.54 | Facility | None | $32.36 | $70.79 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $87.10 | Professional | None | $23.44 | $37.15 | $87.10 |
ConnectiCare Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $75.86 | Professional | None | $34.67 | $51.29 | $75.86 |
United Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $61.66 | Professional | None | $14.79 | $23.44 | $61.66 |
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 $12.88 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.88 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 27th of 51
$36.31
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.