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 $154.88 Median $190.55 Typical High $281.84 | Professional | None | $154.88 | $190.55 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $537.03 | Facility | None | $218.78 | $295.12 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $346.74 | Professional | None | $112.20 | $131.83 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $851.14 | Facility | None | $218.78 | $346.74 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $524.81 | Professional | None | $144.54 | $239.88 | $524.81 |
ConnectiCare Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $478.63 | Professional | None | $213.80 | $316.23 | $478.63 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $316.23 | Professional | None | $91.20 | $131.83 | $316.23 |
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 3.6 times more in Alaska than in Oklahoma. 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· 22nd of 51
$224
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.