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 $1,000.00 Median $1,000.00 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,000.00 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $5,623.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,623.41 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $5,011.87 | Professional | None | $2,089.30 | $2,884.03 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $6,165.95 Typical High $17,378.01 | Facility | None | $3,162.28 | $6,165.95 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $6,025.60 Typical High $10,715.19 | Professional | None | $2,691.53 | $6,025.60 | $10,715.19 |
ConnectiCare Setting Professional Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $6,456.54 | Professional | None | $2,818.38 | $4,786.30 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $6,165.95 | Professional | None | $1,995.26 | $2,884.03 | $6,165.95 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Where Connecticut sits
The same service costs 10.7 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· 40th of 51
$3,311
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.