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 $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,479.11 | $3,090.30 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $4,570.88 | Professional | None | $588.84 | $812.83 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $4,897.79 | Facility | None | $891.25 | $2,137.96 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $3,019.95 | Professional | None | $891.25 | $1,698.24 | $3,019.95 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,819.70 | Professional | None | $794.33 | $1,348.96 | $1,819.70 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,737.80 | Professional | None | $562.34 | $812.83 | $1,737.80 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Where Connecticut sits
The same service costs 5.1 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· 34th of 51
$1,023
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.