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 $281.84 Median $281.84 Typical High $354.81 | Professional | None | $281.84 | $281.84 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $123.03 | Facility | None | $10.47 | $12.59 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $199.53 | Professional | None | $77.62 | $107.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $109.65 Typical High $309.03 | Facility | None | $48.98 | $109.65 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $302.00 | Professional | None | $50.12 | $50.12 | $302.00 |
1 more rate 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 $141.25 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $141.25 | $158.49 |
Where Connecticut sits
The same service costs 25.1 times more in Vermont than in Michigan. 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· 36th of 51
$107
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.