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 $30.90 Median $35.48 Typical High $38.02 | Professional | None | $30.90 | $35.48 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $120.23 | Facility | None | $24.55 | $48.98 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $74.13 | Professional | None | $22.91 | $30.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $81.28 Typical High $186.21 | Facility | None | $37.15 | $81.28 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $107.15 | Professional | None | $30.90 | $44.67 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $93.33 | Professional | None | $50.12 | $69.18 | $93.33 |
Health New England Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $147.91 | Professional | None | $28.18 | $51.29 | $147.91 |
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 $15.49 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.59 |
Where Connecticut sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 51st of 51
$33.88
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.