How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $64.57 Median $93.33 Typical High $93.33 | Professional | None | $64.57 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $204.17 | Professional | None | $63.10 | $79.43 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
ConnectiCare Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $630.96 | Professional | None | $331.13 | $363.08 | $630.96 |
United Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $537.03 | Professional | None | $138.04 | $269.15 | $537.03 |
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 $32.36 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $12.88 | $18.62 | $18.62 |
Where Connecticut sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 40th of 51
$79.43
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.