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 $128.82 Median $158.49 Typical High $218.78 | Facility | None | $128.82 | $158.49 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $177.83 | Professional | None | $109.65 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $28.84 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $181.97 | Professional | None | $114.82 | $144.54 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $144.54 | Professional | None | $97.72 | $134.90 | $144.54 |
ConnectiCare Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $288.40 | Professional | None | $147.91 | $181.97 | $288.40 |
Health New England Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $245.47 | Professional | None | $117.49 | $151.36 | $245.47 |
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 $144.54 Median $177.83 Typical High $199.53 | Professional | AF · Specialist physician | $144.54 | $177.83 | $199.53 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $109.65 Median $134.90 Typical High $147.91 | Professional | HO · Master's level | $109.65 | $134.90 | $147.91 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $123.03 Median $151.36 Typical High $169.82 | Professional | TD · Registered nurse | $123.03 | $151.36 | $169.82 |
Where Connecticut sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$135
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.