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 $331.13 Median $398.11 Typical High $537.03 | Professional | None | $331.13 | $398.11 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,412.54 | $2,818.38 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $707.95 Typical High $1,174.90 | Professional | None | $269.15 | $707.95 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $2,187.76 | Facility | None | $436.52 | $602.56 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $1,862.09 | Professional | None | $295.12 | $616.60 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $645.65 Typical High $1,737.80 | Professional | None | $257.04 | $645.65 | $1,737.80 |
United Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $776.25 | Professional | None | $204.17 | $288.40 | $776.25 |
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 $165.96 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 5.2 times more in North Dakota 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· 19th 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.