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 $478.63 Median $524.81 Typical High $776.25 | Professional | None | $478.63 | $524.81 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,412.54 | $3,090.30 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $776.25 Typical High $4,570.88 | Professional | None | $354.81 | $776.25 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $2,951.21 | Facility | None | $588.84 | $776.25 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $954.99 Typical High $1,862.09 | Professional | None | $389.05 | $954.99 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $1,737.80 | Professional | None | $346.74 | $660.69 | $1,737.80 |
United Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $1,023.29 | Professional | None | $269.15 | $389.05 | $1,023.29 |
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 $229.09 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $104.71 | $104.71 |
Where Connecticut sits
The same service costs 4.0 times more in Wisconsin 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.
Connecticut· 26th of 51
$776
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.