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 $1,000.00 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,000.00 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,023.29 | $2,511.89 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $4,570.88 | Professional | None | $407.38 | $562.34 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $3,388.44 | Facility | None | $616.60 | $1,479.11 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $2,089.30 | Professional | None | $630.96 | $1,174.90 | $2,089.30 |
ConnectiCare Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,258.93 | Professional | None | $549.54 | $933.25 | $1,258.93 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,202.26 | Professional | None | $389.05 | $562.34 | $1,202.26 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 16th of 51
$977
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.