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 $1,023.29 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,698.24 | $1,698.24 |
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 $1,258.93 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,258.93 | $1,819.70 | $2,570.40 |
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 $1,513.56 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,513.56 | $1,905.46 | $2,570.40 |
ConnectiCare Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,698.24 | $1,995.26 | $3,090.30 |
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 $1,122.02 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,122.02 | $1,737.80 | $2,630.27 |
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 $562.34 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $562.34 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $223.87 | $338.84 | $338.84 |
Where Connecticut sits
The same service costs 3.5 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.
Connecticut· 13th of 51
$1,738
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.