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 $79.43 Median $245.47 Typical High $323.59 | Facility | None | $79.43 | $245.47 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $109.65 | Professional | None | $81.28 | $93.33 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $112.20 | Professional | None | $79.43 | $85.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $302.00 | Facility | None | $79.43 | $120.23 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $125.89 | Professional | None | $72.44 | $75.86 | $125.89 |
ConnectiCare Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None | $123.03 | $123.03 | $162.18 |
Health New England Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Health New England Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None | $93.33 | $93.33 | $123.03 |
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 $85.11 Median $109.65 Typical High $125.89 | Professional | AF · Specialist physician | $85.11 | $109.65 | $125.89 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $81.28 Median $83.18 Typical High $97.72 | Professional | HO · Master's level | $81.28 | $83.18 | $97.72 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | TD · Registered nurse | $93.33 | $93.33 | $109.65 |
Where Connecticut sits
The same service costs 1.7 times more in Alaska 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· 30th of 51
$93.33
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.