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 $3,890.45 Typical High $3,890.45 | Professional | None | $1,000.00 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $7,079.46 | Facility | None | $4,677.35 | $5,888.44 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,187.76 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $10,964.78 | Facility | None | $7,585.78 | $7,585.78 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,786.30 Typical High $5,495.41 | Professional | None | $4,365.16 | $4,786.30 | $5,495.41 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,884.03 Median $4,786.30 Typical High $8,317.64 | Professional | None | $2,884.03 | $4,786.30 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $8,317.64 | Professional | None | $2,884.03 | $2,884.03 | $8,317.64 |
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 $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $501.19 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $199.53 | $776.25 | $776.25 |
Where Maine 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.
Maine· 42nd of 51
$3,090
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.