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 $512.86 Median $1,737.80 Typical High $1,737.80 | Professional | None | $512.86 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $3,162.28 | Facility | None | $2,089.30 | $2,630.27 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,288.25 | Professional | None | $724.44 | $954.99 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,897.79 | Facility | None | $3,388.44 | $3,388.44 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,187.76 | $2,454.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $363.08 Median $1,288.25 Typical High $2,137.96 | Professional | None | $363.08 | $1,288.25 | $2,137.96 |
Martin's Point Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,047.13 Typical High $1,288.25 | Professional | None | $363.08 | $1,047.13 | $1,288.25 |
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 $257.04 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $257.04 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $104.71 | $346.74 | $346.74 |
Where Maine sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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· 40th of 51
$1,288
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.