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 $758.58 Median $758.58 Typical High $1,148.15 | Professional | None | $758.58 | $758.58 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,380.38 | Facility | None | $912.01 | $1,148.15 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $602.56 | Professional | None | $316.23 | $457.09 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,137.96 | Facility | None | $1,479.11 | $1,479.11 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,071.52 | Professional | None | $851.14 | $954.99 | $1,071.52 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $1,621.81 | Professional | None | $562.34 | $933.25 | $1,621.81 |
Martin's Point Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,621.81 | Professional | None | $562.34 | $562.34 | $1,621.81 |
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 $380.19 Median $380.19 Typical High $575.44 | Professional | 52 · Reduced service | $380.19 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $229.09 | Professional | 53 · Discontinued | $151.36 | $151.36 | $229.09 |
Where Maine 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.
Maine· 35th of 51
$741
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.