How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $776.25 Median $851.14 Typical High $1,230.27 | Professional | None | $776.25 | $851.14 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,230.27 | Facility | None | $851.14 | $977.24 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,698.24 | Professional | None | $676.08 | $891.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $457.09 | Facility | None | $138.04 | $194.98 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $4,570.88 | Professional | None | $524.81 | $645.65 | $4,570.88 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
1 more rate 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 $380.19 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $380.19 | $426.58 | $426.58 |
Where Connecticut sits
The same service costs 25.1 times more in Vermont than in Montana. 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· 13th 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.