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 $436.52 Median $724.44 Typical High $724.44 | Professional | None | $436.52 | $724.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Facility | None | $870.96 | $1,122.02 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $537.03 | Professional | None | $269.15 | $380.19 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,412.54 | $1,412.54 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | None | $812.83 | $912.01 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $1,584.89 | Professional | None | $537.03 | $891.25 | $1,584.89 |
Martin's Point Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,584.89 | Professional | None | $537.03 | $537.03 | $1,584.89 |
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 $218.78 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $218.78 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $87.10 | $144.54 | $144.54 |
Where Maine sits
The same service costs 5.6 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· 45th of 51
$589
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.