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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $74.13 Typical High $5,011.87 | Facility | None | $23.44 | $74.13 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $1,047.13 Typical High $1,513.56 | Professional | None | $22.39 | $1,047.13 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $5,011.87 Typical High $12,022.64 | Facility | None | $1,348.96 | $5,011.87 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,398.83 | $2,951.21 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,445.44 | $2,089.30 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $3,630.78 | Professional | None | $870.96 | $1,380.38 | $3,630.78 |
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 $676.08 Median $676.08 Typical High $724.44 | Professional | 52 · Reduced service | $676.08 | $676.08 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $275.42 | $288.40 |
Where Connecticut sits
The same service costs 354.8 times more in Wisconsin 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· 47th of 51
$1,047
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.