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 $3,019.95 Median $3,630.78 Typical High $3,890.45 | Professional | None | $3,019.95 | $3,630.78 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $6,760.83 Typical High $13,489.63 | Facility | None | $4,168.69 | $6,760.83 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $6,760.83 | Professional | None | $2,454.71 | $3,235.94 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $16,218.10 Typical High $27,542.29 | Facility | None | $8,709.64 | $16,218.10 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $6,309.57 Typical High $11,481.54 | Professional | None | $3,162.28 | $6,309.57 | $11,481.54 |
ConnectiCare Setting Professional Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $8,709.64 | Professional | None | $5,370.32 | $7,244.36 | $8,709.64 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $7,079.46 | Professional | None | $2,344.23 | $3,311.31 | $7,079.46 |
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 $1,513.56 Median $1,819.70 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,513.56 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $724.44 Typical High $776.25 | Professional | 53 · Discontinued | $602.56 | $724.44 | $776.25 |
Where Connecticut sits
The same service costs 6.2 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· 38th of 51
$4,365
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.