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 $436.52 Median $524.81 Typical High $562.34 | Professional | None | $436.52 | $524.81 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,862.09 | Facility | None | $602.56 | $933.25 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $870.96 | Professional | None | $331.13 | $457.09 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $2,754.23 | Facility | None | $489.78 | $776.25 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,513.56 | Professional | None | $446.68 | $812.83 | $1,513.56 |
ConnectiCare Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,230.27 | Professional | None | $446.68 | $758.58 | $1,230.27 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $977.24 | Professional | None | $316.23 | $457.09 | $977.24 |
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 $218.78 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $104.71 | $112.20 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Oklahoma. 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· 45th of 51
$562
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.