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 $416.87 Median $501.19 Typical High $537.03 | Professional | None | $416.87 | $501.19 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,862.09 | Facility | None | $707.95 | $1,071.52 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $933.25 | Professional | None | $389.05 | $457.09 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,819.70 Typical High $4,365.16 | Facility | None | $489.78 | $1,819.70 | $4,365.16 |
ConnectiCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,412.54 | $1,412.54 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $977.24 | Professional | None | $316.23 | $457.09 | $977.24 |
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 $208.93 Median $251.19 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $100.00 | $107.15 |
Where Connecticut sits
The same service costs 7.8 times more in Texas than in Delaware. 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· 44th of 51
$501
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.