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 $426.58 Median $426.58 Typical High $724.44 | Professional | None | $426.58 | $426.58 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $2,041.74 Typical High $5,888.44 | Facility | None | $831.76 | $2,041.74 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $4,570.88 | Professional | None | $331.13 | $457.09 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $2,754.23 | Facility | None | $489.78 | $758.58 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $933.25 Typical High $1,698.24 | Professional | None | $426.58 | $933.25 | $1,698.24 |
ConnectiCare Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,023.29 | Professional | None | $446.68 | $758.58 | $1,023.29 |
Health New England Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $81.28 Median $457.09 Typical High $1,318.26 | Professional | None | $81.28 | $457.09 | $1,318.26 |
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 $213.80 Median $213.80 Typical High $363.08 | Professional | 52 · Reduced service | $213.80 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | 53 · Discontinued | $85.11 | $85.11 | $144.54 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 36th of 51
$589
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.