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 $724.44 Median $870.96 Typical High $933.25 | Professional | None | $724.44 | $870.96 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $3,311.31 | Facility | None | $1,445.44 | $2,089.30 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,479.11 | Professional | None | $676.08 | $794.33 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,235.94 Typical High $7,585.78 | Facility | None | $870.96 | $3,235.94 | $7,585.78 |
ConnectiCare Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,380.38 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,698.24 | Professional | None | $562.34 | $794.33 | $1,698.24 |
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 $363.08 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $363.08 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $173.78 Typical High $186.21 | Professional | 53 · Discontinued | $144.54 | $173.78 | $186.21 |
Where Connecticut sits
The same service costs 104.7 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· 44th of 51
$871
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.