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 $128.82 Median $275.42 Typical High $275.42 | Professional | None | $128.82 | $275.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $426.58 | Facility | None | $169.82 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $295.12 | Professional | None | $89.13 | $104.71 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $338.84 Typical High $660.69 | Facility | None | $154.88 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $416.87 | Professional | None | $114.82 | $173.78 | $416.87 |
ConnectiCare Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $354.81 | Professional | None | $173.78 | $251.19 | $354.81 |
United Setting Professional Modifier None Typical Low $104.71 Median $234.42 Typical High $478.63 | Professional | None | $104.71 | $234.42 | $478.63 |
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 $64.57 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $64.57 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $25.70 | $54.95 | $54.95 |
Where Connecticut sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 24th of 51
$214
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.