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 $602.56 | Professional | None | $398.11 | $398.11 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $6,165.95 | Facility | None | $2,630.27 | $3,715.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,778.28 | Professional | None | $977.24 | $1,258.93 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,454.71 Typical High $8,912.51 | Facility | None | $575.44 | $2,454.71 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $5,495.41 | Professional | None | $1,348.96 | $3,019.95 | $5,495.41 |
ConnectiCare Setting Professional Modifier None Typical Low $812.83 Median $1,949.84 Typical High $3,311.31 | Professional | None | $812.83 | $1,949.84 | $3,311.31 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,479.11 Typical High $3,162.28 | Professional | None | $363.08 | $1,479.11 | $3,162.28 |
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 $257.04 | Professional | 52 · Reduced service | $199.53 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $102.33 |
Where Connecticut sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 41st of 51
$1,479
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.