How much rates vary
Facilitymedian $2,692 · 10th to 90th $646 to $12,303Professionalmedian $3,467 · 10th to 90th $2,399 to $5,248
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 $2,137.96 Median $3,467.37 Typical High $5,011.87 | Professional | None | $2,137.96 | $3,467.37 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $5,128.61 | Professional | None | $2,754.23 | $3,801.89 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $5,623.41 | Professional | None | $2,951.21 | $3,388.44 | $5,623.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2,691.53 Median $5,888.44 Typical High $6,309.57 | Professional | None | $2,691.53 | $5,888.44 | $6,309.57 |
Health New England Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $5,248.07 | Professional | None | $2,238.72 | $3,467.37 | $5,248.07 |
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 $1,174.90 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,174.90 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $467.74 | $707.95 | $707.95 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $12,394AR $2,907
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.