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 $398.11 Median $489.78 Typical High $489.78 | Professional | None | $398.11 | $489.78 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $870.96 | Facility | None | $575.44 | $741.31 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $354.81 | Professional | None | $204.17 | $269.15 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,348.96 | Facility | None | $954.99 | $954.99 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | None | $549.54 | $602.56 | $691.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,047.13 | Professional | None | $354.81 | $602.56 | $1,047.13 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $1,047.13 | Professional | None | $354.81 | $363.08 | $1,047.13 |
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 $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $97.72 | $97.72 |
Where Maine sits
The same service costs 3.8 times more in Alaska than in Georgia. 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· 48th of 51
$389
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.