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 Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $104.71 | Facility | None | $51.29 | $51.29 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None | $51.29 | $51.29 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $125.89 | Facility | None | $38.90 | $66.07 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $56.23 | Professional | None | $26.30 | $30.90 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $186.21 | Facility | None | $51.29 | $81.28 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $79.43 | Professional | None | $51.29 | $67.61 | $79.43 |
ConnectiCare Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $83.18 | Professional | None | $46.77 | $52.48 | $83.18 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $66.07 | Professional | None | $21.38 | $30.90 | $66.07 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Where Connecticut sits
The same service costs 3.1 times more in Alaska than in Maine. 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
$51.29
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.