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 $323.59 Median $389.05 Typical High $501.19 | Professional | None | $323.59 | $389.05 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $870.96 Typical High $2,041.74 | Facility | None | $223.87 | $870.96 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $426.58 Typical High $645.65 | Professional | None | $218.78 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $3,090.30 | Facility | None | $478.63 | $851.14 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,862.09 | Professional | None | $467.74 | $1,047.13 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,148.15 | Professional | None | $501.19 | $831.76 | $1,148.15 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,071.52 | Professional | None | $354.81 | $501.19 | $1,071.52 |
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 $162.18 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $77.62 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $77.62 | $83.18 |
Where Connecticut sits
The same service costs 5.4 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· 49th of 51
$501
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.