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 $81.28 | Professional | None | $60.26 | $67.61 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $83.18 | Professional | None | $50.12 | $61.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $123.03 | Professional | None | $69.18 | $72.44 | $123.03 |
ConnectiCare Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $162.18 | Professional | None | $83.18 | $102.33 | $162.18 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
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 $61.66 Median $81.28 Typical High $91.20 | Professional | AF · Specialist physician | $61.66 | $81.28 | $91.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $46.77 Median $61.66 Typical High $69.18 | Professional | HO · Master's level | $46.77 | $61.66 | $69.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $52.48 Median $69.18 Typical High $77.62 | Professional | TD · Registered nurse | $52.48 | $69.18 | $77.62 |
Where Connecticut sits
The same service costs 2.3 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· 26th of 51
$61.66
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.