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 $1,348.96 Median $1,659.59 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,659.59 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,466.84 | Facility | None | $1,862.09 | $2,511.89 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,691.53 | Professional | None | $933.25 | $1,096.48 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $7,244.36 | Facility | None | $1,819.70 | $2,398.83 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $4,570.88 | Professional | None | $1,230.27 | $1,995.26 | $4,570.88 |
ConnectiCare Setting Professional Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,691.53 | $3,890.45 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,511.89 | Professional | None | $758.58 | $1,122.02 | $2,511.89 |
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 $676.08 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $269.15 | $331.13 | $331.13 |
Where Connecticut sits
The same service costs 4.3 times more in Alaska 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· 26th of 51
$1,862
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.