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 $190.55 Median $234.42 Typical High $234.42 | Professional | None | $190.55 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $630.96 | Facility | None | $263.03 | $354.81 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $416.87 | Professional | None | $131.83 | $154.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $524.81 Typical High $1,071.52 | Facility | None | $239.88 | $524.81 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $645.65 | Professional | None | $169.82 | $234.42 | $645.65 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $549.54 | Professional | None | $257.04 | $380.19 | $549.54 |
United Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $446.68 | Professional | None | $107.15 | $169.82 | $446.68 |
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 $95.50 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 27th of 51
$263
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.