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 $117.49 Median $245.47 Typical High $245.47 | Professional | None | $117.49 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $371.54 | Facility | None | $154.88 | $208.93 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $263.03 | Professional | None | $75.86 | $91.20 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $602.56 | Facility | None | $138.04 | $302.00 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $371.54 | Professional | None | $100.00 | $158.49 | $371.54 |
ConnectiCare Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $323.59 | Professional | None | $141.25 | $218.78 | $323.59 |
United Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $416.87 | Professional | None | $91.20 | $208.93 | $416.87 |
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 $56.23 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $56.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $22.39 | $48.98 | $48.98 |
Where Connecticut sits
The same service costs 2.9 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· 25th of 51
$186
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.