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 $707.95 Median $724.44 Typical High $977.24 | Professional | None | $707.95 | $724.44 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $6,025.60 | Facility | None | $1,148.15 | $2,754.23 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $4,570.88 | Professional | None | $467.74 | $562.34 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,445.44 Typical High $3,311.31 | Facility | None | $602.56 | $1,445.44 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,148.15 Typical High $2,041.74 | Professional | None | $602.56 | $1,148.15 | $2,041.74 |
ConnectiCare Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,230.27 | Professional | None | $537.03 | $912.01 | $1,230.27 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,174.90 | Professional | None | $380.19 | $549.54 | $1,174.90 |
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 3.7 times more in Alaska than in Maine. 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· 29th of 51
$851
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.