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 $30.90 Median $38.02 Typical High $38.02 | Professional | None | $30.90 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $102.33 | Facility | None | $42.66 | $57.54 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $72.44 | Professional | None | $21.38 | $25.12 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $165.96 | Facility | None | $38.90 | $66.07 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $104.71 | Professional | None | $28.18 | $43.65 | $104.71 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $89.13 | Professional | None | $41.69 | $61.66 | $89.13 |
United Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $61.66 | Professional | None | $17.38 | $27.54 | $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 $15.49 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $7.59 | $7.59 |
Where Connecticut sits
The same service costs 3.3 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· 26th of 51
$42.66
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.