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 Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Facility | None | $120.23 | $120.23 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | None | $83.18 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $575.44 | Facility | None | $100.00 | $275.42 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $213.80 | Professional | None | $75.86 | $144.54 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $707.95 | Facility | None | $323.59 | $398.11 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $234.42 | Professional | None | $123.03 | $165.96 | $234.42 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $181.97 | Professional | None | $107.15 | $141.25 | $181.97 |
Health New England Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
United Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $239.88 | Professional | None | $81.28 | $138.04 | $239.88 |
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 $41.69 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $23.99 | $23.99 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 14th of 51
$145
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.