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 $1,096.48 Typical High $1,096.48 | Professional | None | $724.44 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,995.26 | Facility | None | $1,318.26 | $1,659.59 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $870.96 | Professional | None | $457.09 | $602.56 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,090.30 | Facility | None | $2,137.96 | $2,137.96 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,380.38 | $1,548.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,344.23 | Professional | None | $812.83 | $1,348.96 | $2,344.23 |
Martin's Point Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,344.23 | Professional | None | $812.83 | $812.83 | $2,344.23 |
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 $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $363.08 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $144.54 | $218.78 | $218.78 |
Where Maine 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.
Maine· 45th of 51
$871
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.