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 $954.99 Median $1,148.15 Typical High $1,230.27 | Professional | None | $954.99 | $1,148.15 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,786.30 | Facility | None | $2,089.30 | $3,019.95 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,737.80 | Professional | None | $870.96 | $1,000.00 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,677.35 Typical High $11,220.18 | Facility | None | $1,258.93 | $4,677.35 | $11,220.18 |
ConnectiCare Setting Professional Modifier None Typical Low $2,041.74 Median $3,548.13 Typical High $3,630.78 | Professional | None | $2,041.74 | $3,548.13 | $3,630.78 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $2,238.72 | Professional | None | $794.33 | $1,047.13 | $2,238.72 |
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 $478.63 Median $575.44 Typical High $616.60 | Professional | 52 · Reduced service | $478.63 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $245.47 | Professional | 53 · Discontinued | $190.55 | $229.09 | $245.47 |
Where Connecticut sits
The same service costs 154.9 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· 45th of 51
$1,148
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.