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 Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $977.24 | Facility | None | $616.60 | $616.60 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | None | $524.81 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,122.02 | Facility | None | $741.31 | $933.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $501.19 | Professional | None | $257.04 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,737.80 | Facility | None | $1,202.26 | $1,202.26 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | None | $691.83 | $776.25 | $870.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,412.54 | Professional | None | $457.09 | $758.58 | $1,412.54 |
Martin's Point Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $977.24 | Facility | None | $616.60 | $616.60 | $977.24 |
Martin's Point Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $1,412.54 | Professional | None | $457.09 | $478.63 | $1,412.54 |
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 $263.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $104.71 | $123.03 | $123.03 |
Where Maine sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 51st of 51
$501
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.