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 $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $1,479.11 Typical High $3,630.78 | Facility | None | $37.15 | $1,479.11 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,096.48 | Professional | None | $588.84 | $758.58 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $1,479.11 Typical High $5,370.32 | Facility | None | $64.57 | $1,479.11 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,698.24 | $2,570.40 |
ConnectiCare Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,949.84 | Professional | None | $691.83 | $1,047.13 | $1,949.84 |
United Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $2,630.27 | Professional | None | $630.96 | $977.24 | $2,630.27 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Where Connecticut sits
The same service costs 5.6 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· 46th of 51
$891
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.