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 $223.87 Median $316.23 Typical High $316.23 | Professional | None | $223.87 | $316.23 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $457.09 | Facility | None | $251.19 | $288.40 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $691.83 | Professional | None | $302.00 | $398.11 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $100.00 Typical High $194.98 | Facility | None | $48.98 | $100.00 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $562.34 | Professional | None | $251.19 | $316.23 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $181.97 | Professional | None | $144.54 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | None | $269.15 | $269.15 | $380.19 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $63.10 | $63.10 |
Where Connecticut sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 8th of 51
$339
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.