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 $309.03 Median $380.19 Typical High $562.34 | Professional | None | $309.03 | $380.19 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $1,023.29 | Facility | None | $426.58 | $575.44 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $616.60 | Professional | None | $204.17 | $251.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,659.59 | Facility | None | $416.87 | $660.69 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $1,023.29 | Professional | None | $275.42 | $457.09 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $891.25 | Professional | None | $416.87 | $616.60 | $891.25 |
Health New England Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $501.19 | Facility | None | $407.38 | $407.38 | $501.19 |
United Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $616.60 | Professional | None | $173.78 | $257.04 | $616.60 |
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 $151.36 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $75.86 | $75.86 |
Where Connecticut sits
The same service costs 5.4 times more in Alaska 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· 25th of 51
$427
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.