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 $1,348.96 Median $1,621.81 Typical High $1,698.24 | Professional | None | $1,348.96 | $1,621.81 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $6,025.60 | Facility | None | $2,630.27 | $3,801.89 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $1,258.93 Typical High $1,621.81 | Professional | None | $25.70 | $1,258.93 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $5,888.44 Typical High $14,125.38 | Facility | None | $1,584.89 | $5,888.44 | $14,125.38 |
ConnectiCare Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,570.88 | Professional | None | $4,466.84 | $4,466.84 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $3,162.28 | Professional | None | $1,023.29 | $1,479.11 | $3,162.28 |
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 $660.69 Median $812.83 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $812.83 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $269.15 | $323.59 | $346.74 |
Where Connecticut sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 41st of 51
$1,479
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.