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 $524.81 Typical High $562.34 | Professional | None | $436.52 | $524.81 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,949.84 | Facility | None | $851.14 | $1,230.27 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $4,570.88 | Professional | None | $354.81 | $478.63 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,905.46 Typical High $4,570.88 | Facility | None | $512.86 | $1,905.46 | $4,570.88 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,023.29 | Professional | None | $331.13 | $478.63 | $1,023.29 |
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 $263.03 Typical High $275.42 | Professional | 52 · Reduced service | $218.78 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $104.71 | $112.20 |
Where Connecticut sits
The same service costs 12.0 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
$525
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.