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 Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $154.88 | Professional | None | $100.00 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $169.82 | Professional | None | $89.13 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $138.04 Typical High $281.84 | Professional | None | $134.90 | $138.04 | $281.84 |
ConnectiCare Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $213.80 | Professional | None | $125.89 | $162.18 | $213.80 |
United Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $302.00 | Professional | None | $109.65 | $165.96 | $302.00 |
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 $48.98 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $48.98 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $19.50 | $30.90 | $30.90 |
Where Connecticut sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 24th of 51
$129
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.