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 $331.13 Median $398.11 Typical High $426.58 | Professional | None | $331.13 | $398.11 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,513.56 | Facility | None | $660.69 | $954.99 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $416.87 | Professional | None | $269.15 | $363.08 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,445.44 Typical High $3,467.37 | Facility | None | $398.11 | $1,445.44 | $3,467.37 |
ConnectiCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,096.48 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $776.25 | Professional | None | $257.04 | $363.08 | $776.25 |
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 $165.96 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $79.43 | $85.11 |
Where Connecticut sits
The same service costs 47.9 times more in Texas than in Alabama. 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· 42nd of 51
$363
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.