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 $1,412.54 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,698.24 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $6,309.57 | Facility | None | $2,754.23 | $4,073.80 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,548.82 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $6,165.95 Typical High $14,791.08 | Facility | None | $1,659.59 | $6,165.95 | $14,791.08 |
ConnectiCare Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $4,786.30 | Professional | None | $2,691.53 | $4,677.35 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $3,311.31 | Professional | None | $1,071.52 | $1,548.82 | $3,311.31 |
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 $707.95 Median $851.14 Typical High $891.25 | Professional | 52 · Reduced service | $707.95 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $338.84 Typical High $363.08 | Professional | 53 · Discontinued | $281.84 | $338.84 | $363.08 |
Where Connecticut sits
The same service costs 204.2 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
$1,698
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.