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 $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $354.81 | Facility | None | $120.23 | $199.53 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $204.17 | Professional | None | $72.44 | $85.11 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $524.81 | Facility | None | $141.25 | $229.09 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $316.23 | Professional | None | $117.49 | $186.21 | $316.23 |
ConnectiCare Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | None | $131.83 | $144.54 | $199.53 |
Health New England Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $223.87 | Professional | None | $60.26 | $107.15 | $223.87 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 41st of 51
$141
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.