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 $1,862.09 Median $2,238.72 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,238.72 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $8,511.38 | Facility | None | $3,715.35 | $5,370.32 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $2,290.87 | Professional | None | $794.33 | $1,737.80 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $8,317.64 Typical High $19,952.62 | Facility | None | $2,238.72 | $8,317.64 | $19,952.62 |
ConnectiCare Setting Professional Modifier None Typical Low $3,548.13 Median $6,309.57 Typical High $6,309.57 | Professional | None | $3,548.13 | $6,309.57 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $4,365.16 | Professional | None | $1,445.44 | $2,041.74 | $4,365.16 |
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 $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $457.09 Typical High $478.63 | Professional | 53 · Discontinued | $371.54 | $457.09 | $478.63 |
Where Connecticut sits
The same service costs 35.5 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· 45th of 51
$2,042
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.