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 $407.38 Typical High $416.87 | Professional | None | $389.05 | $407.38 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $724.44 Typical High $1,288.25 | Facility | None | $489.78 | $724.44 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $467.74 | Professional | None | $234.42 | $263.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,258.93 Typical High $2,951.21 | Facility | None | $338.84 | $1,258.93 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $660.69 Typical High $1,174.90 | Professional | None | $288.40 | $660.69 | $1,174.90 |
ConnectiCare Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $831.76 | Professional | None | $512.86 | $691.83 | $831.76 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $660.69 | Professional | None | $218.78 | $309.03 | $660.69 |
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 $141.25 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $67.61 | $72.44 |
Where Connecticut sits
The same service costs 8.1 times more in Texas 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· 47th of 51
$309
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.