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 $1,445.44 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,737.80 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $6,606.93 | Facility | None | $2,884.03 | $4,168.69 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $1,737.80 | Professional | None | $645.65 | $1,348.96 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $6,309.57 Typical High $15,135.61 | Facility | None | $1,737.80 | $6,309.57 | $15,135.61 |
ConnectiCare Setting Professional Modifier None Typical Low $4,786.30 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,786.30 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,122.02 | $1,584.89 | $3,388.44 |
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 $724.44 Median $870.96 Typical High $933.25 | Professional | 52 · Reduced service | $724.44 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $346.74 Typical High $371.54 | Professional | 53 · Discontinued | $288.40 | $346.74 | $371.54 |
Where Connecticut sits
The same service costs 33.9 times more in Texas than in Ohio. 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· 42nd of 51
$1,585
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.