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 Professional Modifier None Typical Low $31.62 Median $51.29 Typical High $72.44 | Professional | None | $31.62 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $165.96 | Professional | None | $27.54 | $50.12 | $165.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $72.44 Typical High $251.19 | Professional | 50 · Both sides | $41.69 | $72.44 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $446.68 | Facility | None | $120.23 | $251.19 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $91.20 Typical High $169.82 | Professional | None | $36.31 | $91.20 | $169.82 |
ConnectiCare Setting Professional Modifier None Typical Low $70.79 Median $158.49 Typical High $269.15 | Professional | None | $70.79 | $158.49 | $269.15 |
United Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $173.78 | Professional | None | $30.20 | $70.79 | $173.78 |
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 $15.85 Median $21.38 Typical High $33.11 | Professional | 52 · Reduced service | $15.85 | $21.38 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.71 Typical High $13.49 | Professional | 53 · Discontinued | $6.31 | $8.71 | $13.49 |
Where Connecticut sits
The same service costs 4.2 times more in Washington than in Maryland. 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
$66.07
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.