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 $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,479.11 | Facility | None | $446.68 | $758.58 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $776.25 | Professional | None | $269.15 | $363.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $2,187.76 | Facility | None | $457.09 | $954.99 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $758.58 Typical High $1,348.96 | Professional | None | $331.13 | $758.58 | $1,348.96 |
ConnectiCare Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,071.52 | Professional | None | $588.84 | $794.33 | $1,071.52 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $776.25 | Professional | None | $251.19 | $363.08 | $776.25 |
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 $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 48th of 51
$417
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.