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 $2,754.23 Median $3,311.31 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,311.31 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $7,762.47 Typical High $12,302.69 | Facility | None | $5,370.32 | $7,762.47 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,019.95 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $12,022.64 Typical High $28,840.32 | Facility | None | $3,235.94 | $12,022.64 | $28,840.32 |
ConnectiCare Setting Professional Modifier None Typical Low $5,248.07 Median $9,120.11 Typical High $9,332.54 | Professional | None | $5,248.07 | $9,120.11 | $9,332.54 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $6,456.54 | Professional | None | $2,089.30 | $3,019.95 | $6,456.54 |
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 $1,348.96 Median $1,659.59 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,348.96 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $660.69 Typical High $707.95 | Professional | 53 · Discontinued | $549.54 | $660.69 | $707.95 |
Where Connecticut sits
The same service costs 12.0 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· 39th of 51
$3,311
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.