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 $63.10 Median $77.62 Typical High $102.33 | Professional | None | $63.10 | $77.62 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $208.93 | Facility | None | $87.10 | $117.49 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $144.54 | Professional | None | $43.65 | $51.29 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $173.78 Typical High $338.84 | Facility | None | $79.43 | $173.78 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $208.93 | Professional | None | $56.23 | $77.62 | $208.93 |
ConnectiCare Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $181.97 | Professional | None | $85.11 | $112.20 | $181.97 |
United Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $117.49 | Professional | None | $35.48 | $56.23 | $117.49 |
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 $31.62 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $12.59 | $15.49 | $15.49 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 30th of 51
$87.10
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.