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 $85.11 Median $125.89 Typical High $281.84 | Facility | None | $85.11 | $125.89 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $125.89 | Professional | None | $87.10 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $144.54 | Professional | None | $83.18 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $1,047.13 | Facility | None | $165.96 | $575.44 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $114.82 | Professional | None | $70.79 | $97.72 | $114.82 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $223.87 | Professional | None | $107.15 | $141.25 | $223.87 |
Health New England Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $177.83 | Professional | None | $89.13 | $107.15 | $177.83 |
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 $117.49 Median $125.89 Typical High $138.04 | Professional | AF · Specialist physician | $117.49 | $125.89 | $138.04 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $87.10 Median $93.33 Typical High $104.71 | Professional | HO · Master's level | $87.10 | $93.33 | $104.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $107.15 Typical High $117.49 | Professional | TD · Registered nurse | $100.00 | $107.15 | $117.49 |
Where Connecticut sits
The same service costs 2.2 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· 15th of 51
$100
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.