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 $33.88 Median $52.48 Typical High $52.48 | Professional | None | $33.88 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $75.86 | Professional | None | $33.88 | $46.77 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $213.80 | Facility | None | $114.82 | $138.04 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $85.11 | Professional | None | $51.29 | $58.88 | $85.11 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $70.79 | Professional | None | $41.69 | $46.77 | $70.79 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $95.50 | Professional | None | $37.15 | $52.48 | $95.50 |
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 $16.98 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $16.98 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.76 | $10.72 | $10.72 |
Where Connecticut sits
The same service costs 2.7 times more in Alaska than in New York. 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· 18th of 51
$51.29
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.