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 $724.44 Median $1,862.09 Typical High $3,162.28 | Professional | None | $724.44 | $1,862.09 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $7,244.36 | Facility | None | $2,754.23 | $4,073.80 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $4,570.88 | Professional | None | $1,258.93 | $1,737.80 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $10,715.19 | Facility | None | $1,905.46 | $3,801.89 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $6,606.93 | Professional | None | $1,905.46 | $3,630.78 | $6,606.93 |
ConnectiCare Setting Professional Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,884.03 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,715.35 | Professional | None | $1,230.27 | $1,737.80 | $3,715.35 |
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 $208.93 Median $208.93 Typical High $363.08 | Professional | 52 · Reduced service | $208.93 | $208.93 | $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 5.4 times more in Alaska than in Alabama. 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· 22nd of 51
$2,754
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.