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 $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,348.96 | Facility | None | $954.99 | $1,071.52 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,819.70 | Professional | None | $758.58 | $1,000.00 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $1,023.29 Typical High $4,073.80 | Facility | None | $54.95 | $1,023.29 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,174.90 Typical High $1,737.80 | Professional | None | $602.56 | $1,174.90 | $1,737.80 |
ConnectiCare Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $2,238.72 | Professional | None | $1,412.54 | $2,187.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $2,187.76 | Professional | None | $524.81 | $831.76 | $2,187.76 |
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 $398.11 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $158.49 | $165.96 |
Where Connecticut sits
The same service costs 43.7 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· 19th of 51
$1,000
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.