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 $389.05 Median $676.08 Typical High $676.08 | Professional | None | $389.05 | $676.08 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,230.27 | Facility | None | $812.83 | $1,047.13 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $501.19 | Professional | None | $288.40 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,905.46 | Facility | None | $1,318.26 | $1,318.26 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $954.99 | Professional | None | $776.25 | $851.14 | $954.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $1,023.29 | Professional | None | $354.81 | $831.76 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,023.29 | Professional | None | $354.81 | $501.19 | $1,023.29 |
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 $194.98 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $194.98 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $77.62 | $134.90 | $134.90 |
Where Maine 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.
Maine· 44th of 51
$550
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.