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 $134.90 Median $151.36 Typical High $263.03 | Facility | None | $134.90 | $151.36 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $186.21 | Professional | None | $131.83 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $34.67 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | None | $125.89 | $147.91 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $295.12 | Professional | None | $109.65 | $181.97 | $295.12 |
ConnectiCare Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $295.12 | Professional | None | $154.88 | $186.21 | $295.12 |
Health New England Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $309.03 | Professional | None | $100.00 | $131.83 | $309.03 |
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 $173.78 Median $186.21 Typical High $204.17 | Professional | AF · Specialist physician | $173.78 | $186.21 | $204.17 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $131.83 Median $138.04 Typical High $154.88 | Professional | HO · Master's level | $131.83 | $138.04 | $154.88 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $147.91 Median $158.49 Typical High $173.78 | Professional | TD · Registered nurse | $147.91 | $158.49 | $173.78 |
Where Connecticut sits
The same service costs 2.4 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· 16th of 51
$148
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.