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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $4,897.79 | Facility | None | $562.34 | $776.25 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $380.19 | Professional | None | $218.78 | $288.40 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,318.26 | Facility | None | $831.76 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $831.76 | Professional | None | $478.63 | $588.84 | $831.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,412.54 | Professional | None | $354.81 | $588.84 | $1,412.54 |
Martin's Point Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $1,412.54 | Professional | None | $354.81 | $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 $223.87 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $95.50 | $95.50 |
Where Maine sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 39th of 51
$479
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.