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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $4,265.80 | Facility | None | $2,818.38 | $3,630.78 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,000.00 | $1,412.54 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $6,606.93 | Facility | None | $4,570.88 | $4,570.88 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,691.53 | $2,951.21 | $3,388.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,737.80 | $2,951.21 | $5,128.61 |
Martin's Point Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $5,128.61 | Professional | None | $1,737.80 | $1,737.80 | $5,128.61 |
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 $363.08 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $363.08 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $144.54 | $467.74 | $467.74 |
Where Maine 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.
Maine· 31st of 51
$2,291
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.