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 $1,047.13 Median $1,047.13 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,047.13 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,258.93 | $1,584.89 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $831.76 | Professional | None | $436.52 | $616.60 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Facility | None | $2,041.74 | $2,041.74 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,288.25 | $1,479.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $2,238.72 | Professional | None | $776.25 | $1,288.25 | $2,238.72 |
Martin's Point Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,238.72 | Professional | None | $776.25 | $776.25 | $2,238.72 |
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 $524.81 Median $524.81 Typical High $794.33 | Professional | 52 · Reduced service | $524.81 | $524.81 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | 53 · Discontinued | $208.93 | $208.93 | $316.23 |
Where Maine sits
The same service costs 4.9 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· 35th of 51
$1,023
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.