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 $512.86 Median $1,995.26 Typical High $1,995.26 | Professional | None | $512.86 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,344.23 | $3,019.95 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,479.11 | Professional | None | $831.76 | $1,096.48 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,623.41 | Facility | None | $3,890.45 | $3,890.45 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,238.72 | $2,454.71 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $363.08 Median $1,479.11 Typical High $2,454.71 | Professional | None | $363.08 | $1,479.11 | $2,454.71 |
Martin's Point Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,047.13 Typical High $1,479.11 | Professional | None | $363.08 | $1,047.13 | $1,479.11 |
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 $257.04 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $257.04 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $102.33 | $398.11 | $398.11 |
Where Maine 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.
Maine· 42nd 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.