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 $61.66 Median $117.49 Typical High $120.23 | Facility | None | $61.66 | $117.49 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | None | $60.26 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $32.36 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $12.88 | $15.85 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $85.11 | Professional | None | $52.48 | $66.07 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $131.83 | Professional | None | $51.29 | $83.18 | $131.83 |
ConnectiCare Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $131.83 | Professional | None | $69.18 | $83.18 | $131.83 |
Health New England Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $154.88 | Professional | None | $52.48 | $77.62 | $154.88 |
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 $79.43 Median $83.18 Typical High $91.20 | Professional | AF · Specialist physician | $79.43 | $83.18 | $91.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $61.66 Typical High $69.18 | Professional | HO · Master's level | $60.26 | $61.66 | $69.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | TD · Registered nurse | $67.61 | $70.79 | $77.62 |
Where Connecticut sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 17th 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.