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 $2,818.38 Median $3,467.37 Typical High $3,630.78 | Professional | None | $2,818.38 | $3,467.37 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $8,128.31 Typical High $12,882.50 | Facility | None | $5,623.41 | $8,128.31 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,162.28 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $12,589.25 Typical High $30,199.52 | Facility | None | $3,388.44 | $12,589.25 | $30,199.52 |
ConnectiCare Setting Professional Modifier None Typical Low $5,495.41 Median $9,549.93 Typical High $9,772.37 | Professional | None | $5,495.41 | $9,549.93 | $9,772.37 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $6,760.83 | Professional | None | $2,187.76 | $3,162.28 | $6,760.83 |
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 $1,412.54 Median $1,698.24 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,412.54 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $691.83 Typical High $724.44 | Professional | 53 · Discontinued | $575.44 | $691.83 | $724.44 |
Where Connecticut sits
The same service costs 416.9 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· 38th of 51
$3,467
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.