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 $346.74 Median $416.87 Typical High $446.68 | Professional | None | $346.74 | $416.87 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,584.89 | Facility | None | $676.08 | $1,000.00 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $707.95 | Professional | None | $288.40 | $380.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,513.56 Typical High $3,630.78 | Facility | None | $416.87 | $1,513.56 | $3,630.78 |
ConnectiCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $812.83 | Professional | None | $269.15 | $380.19 | $812.83 |
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 $173.78 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $83.18 | $89.13 |
Where Connecticut sits
The same service costs 11.7 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· 43rd of 51
$417
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.