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 $389.05 Median $478.63 Typical High $501.19 | Professional | None | $389.05 | $478.63 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,778.28 | Facility | None | $776.25 | $1,122.02 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $794.33 | Professional | None | $323.59 | $436.52 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,737.80 Typical High $2,630.27 | Facility | None | $467.74 | $1,737.80 | $2,630.27 |
ConnectiCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $912.01 | Professional | None | $302.00 | $436.52 | $912.01 |
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 $194.98 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $95.50 Typical High $100.00 | Professional | 53 · Discontinued | $77.62 | $95.50 | $100.00 |
Where Connecticut sits
The same service costs 10.2 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· 39th of 51
$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.