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 $501.19 Median $645.65 Typical High $851.14 | Professional | None | $501.19 | $645.65 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,949.84 | Facility | None | $741.31 | $1,122.02 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $630.96 | Professional | None | $398.11 | $478.63 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,258.93 Typical High $2,884.03 | Facility | None | $524.81 | $1,258.93 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,000.00 Typical High $1,778.28 | Professional | None | $524.81 | $1,000.00 | $1,778.28 |
ConnectiCare Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $1,071.52 | Professional | None | $467.74 | $794.33 | $1,071.52 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,023.29 | Professional | None | $331.13 | $478.63 | $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 $251.19 Median $251.19 Typical High $416.87 | Professional | 52 · Reduced service | $251.19 | $251.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | 53 · Discontinued | $100.00 | $100.00 | $165.96 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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.