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 $1,949.84 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,344.23 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $8,912.51 | Facility | None | $3,890.45 | $5,623.41 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,621.81 | $2,137.96 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $8,709.64 Typical High $20,892.96 | Facility | None | $2,344.23 | $8,709.64 | $20,892.96 |
ConnectiCare Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $4,570.88 | Professional | None | $1,513.56 | $2,137.96 | $4,570.88 |
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 $977.24 Median $1,174.90 Typical High $1,258.93 | Professional | 52 · Reduced service | $977.24 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $478.63 Typical High $501.19 | Professional | 53 · Discontinued | $389.05 | $478.63 | $501.19 |
Where Connecticut sits
The same service costs 8.9 times more in Texas than in New Mexico. 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· 41st of 51
$2,344
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.