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 $323.59 Median $323.59 Typical High $2,454.71 | Professional | None | $323.59 | $323.59 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $7,762.47 | Facility | None | $2,818.38 | $4,168.69 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,584.89 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $11,481.54 | Facility | None | $2,511.89 | $3,630.78 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $3,890.45 Typical High $7,079.46 | Professional | None | $1,737.80 | $3,890.45 | $7,079.46 |
ConnectiCare Setting Professional Modifier None Typical Low $3,090.30 Median $4,168.69 Typical High $5,011.87 | Professional | None | $3,090.30 | $4,168.69 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,981.07 | Professional | None | $1,318.26 | $1,862.09 | $3,981.07 |
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 $158.49 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $158.49 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $64.57 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 6.0 times more in Texas than in Alabama. 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· 43rd of 51
$2,042
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.