How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $208.93 | Facility | None | $104.71 | $158.49 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $158.49 | Professional | None | $102.33 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $165.96 | Professional | None | $100.00 | $125.89 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Facility | None | $398.11 | $398.11 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $223.87 | Professional | None | $104.71 | $223.87 | $223.87 |
ConnectiCare Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Health New England Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | None | $125.89 | $125.89 | $223.87 |
United Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None | $128.82 | $128.82 | $162.18 |
3 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 AF · Specialist physician Typical Low $134.90 Median $151.36 Typical High $165.96 | Professional | AF · Specialist physician | $134.90 | $151.36 | $165.96 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | HO · Master's level | $102.33 | $117.49 | $125.89 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $117.49 Median $131.83 Typical High $141.25 | Professional | TD · Registered nurse | $117.49 | $131.83 | $141.25 |
Where Connecticut sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 31st of 51
$126
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.