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 $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $74.13 Typical High $1,621.81 | Facility | None | $23.44 | $74.13 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $338.84 Typical High $489.78 | Professional | None | $25.12 | $338.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,584.89 Typical High $3,801.89 | Facility | None | $426.58 | $1,584.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | None | $758.58 | $758.58 | $954.99 |
ConnectiCare Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $660.69 | Professional | None | $467.74 | $467.74 | $660.69 |
United Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $1,174.90 | Professional | None | $275.42 | $436.52 | $1,174.90 |
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 $218.78 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 53 · Discontinued | $87.10 | $87.10 | $93.33 |
Where Connecticut sits
The same service costs 114.8 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
$339
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.