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 $1,071.52 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,288.25 | $1,380.38 |
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 $1,000.00 Median $1,174.90 Typical High $4,168.69 | Professional | None | $1,000.00 | $1,174.90 | $4,168.69 |
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 $3,548.13 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,548.13 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,511.89 | Professional | None | $812.83 | $1,174.90 | $2,511.89 |
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 $537.03 Median $645.65 Typical High $676.08 | Professional | 52 · Reduced service | $537.03 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $257.04 Typical High $275.42 | Professional | 53 · Discontinued | $213.80 | $257.04 | $275.42 |
Where Connecticut sits
The same service costs 16.6 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· 44th of 51
$1,288
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.