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 $32.36 Median $38.90 Typical High $58.88 | Professional | None | $32.36 | $38.90 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $58.88 Typical High $107.15 | Facility | None | $44.67 | $58.88 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $74.13 | Professional | None | $21.88 | $25.70 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $87.10 Typical High $169.82 | Facility | None | $39.81 | $87.10 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $107.15 | Professional | None | $28.84 | $44.67 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $97.72 | Professional | None | $42.66 | $63.10 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $63.10 | Professional | None | $17.78 | $28.18 | $63.10 |
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 $16.22 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Where Connecticut sits
The same service costs 4.5 times more in Kansas than in Maryland. 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· 31st of 51
$44.67
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.