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 $28.84 Median $57.54 Typical High $204.17 | Facility | None | $28.84 | $57.54 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $66.07 | Professional | None | $25.12 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $18.20 Typical High $33.11 | Professional | 52 · Reduced service | $16.98 | $18.20 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.24 Typical High $13.18 | Professional | 53 · Discontinued | $6.76 | $7.24 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $58.88 | Professional | None | $25.12 | $42.66 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $52.48 | Professional | None | $32.36 | $47.86 | $52.48 |
ConnectiCare Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $104.71 | Professional | None | $54.95 | $67.61 | $104.71 |
Health New England Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $70.79 | Professional | None | $33.11 | $48.98 | $70.79 |
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 $33.88 Median $66.07 Typical High $72.44 | Professional | AF · Specialist physician | $33.88 | $66.07 | $72.44 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $25.12 Median $48.98 Typical High $54.95 | Professional | HO · Master's level | $25.12 | $48.98 | $54.95 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $28.84 Median $56.23 Typical High $61.66 | Professional | TD · Registered nurse | $28.84 | $56.23 | $61.66 |
Where Connecticut sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 7th of 51
$47.86
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.