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 $1,148.15 Median $1,412.54 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $5,248.07 | Facility | None | $2,290.87 | $3,311.31 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,398.83 | Professional | None | $954.99 | $1,288.25 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $12,302.69 | Facility | None | $1,380.38 | $5,128.61 | $12,302.69 |
ConnectiCare Setting Professional Modifier None Typical Low $2,238.72 Median $3,890.45 Typical High $3,890.45 | Professional | None | $2,238.72 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,691.53 | Professional | None | $891.25 | $1,288.25 | $2,691.53 |
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 $575.44 Median $691.83 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $281.84 | $295.12 |
Where Connecticut sits
The same service costs 229.1 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· 38th of 51
$1,413
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.