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 $407.38 Median $489.78 Typical High $524.81 | Professional | None | $407.38 | $489.78 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,819.70 | Facility | None | $794.33 | $1,174.90 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $831.76 | Professional | None | $380.19 | $446.68 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,778.28 Typical High $4,265.80 | Facility | None | $478.63 | $1,778.28 | $4,265.80 |
ConnectiCare Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,380.38 | Professional | None | $776.25 | $1,348.96 | $1,380.38 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $954.99 | Professional | None | $309.03 | $446.68 | $954.99 |
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 $204.17 Median $245.47 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $81.28 | $97.72 | $104.71 |
Where Connecticut sits
The same service costs 58.9 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· 44th of 51
$490
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.