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 Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $40.74 | Professional | None | $30.20 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $95.50 Typical High $131.83 | Professional | None | $35.48 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $537.03 | Facility | None | $38.90 | $58.88 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $190.55 Typical High $363.08 | Professional | None | $85.11 | $190.55 | $363.08 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $346.74 | Professional | None | $128.82 | $173.78 | $346.74 |
2 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 52 · Reduced service Typical Low $15.14 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $15.14 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.03 | $8.13 | $8.13 |
Where Connecticut sits
The same service costs 21.4 times more in Alaska than in New York. 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· 45th of 51
$95.50
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.