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 $4,365.16 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,365.16 | $4,466.84 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $7,943.28 | Facility | None | $1,621.81 | $2,089.30 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,047.13 | Professional | None | $776.25 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $8,511.38 | Facility | None | $5,011.87 | $5,011.87 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
ConnectiCare Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,897.79 | Professional | None | $4,466.84 | $4,466.84 | $4,897.79 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $5,248.07 Typical High $5,888.44 | Professional | None | $4,897.79 | $5,248.07 | $5,888.44 |
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 $2,187.76 Median $2,238.72 Typical High $2,238.72 | Professional | 52 · Reduced service | $2,187.76 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $891.25 Typical High $891.25 | Professional | 53 · Discontinued | $870.96 | $891.25 | $891.25 |
Where Connecticut sits
The same service costs 24.5 times more in West Virginia than in Kansas. 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· 23rd of 51
$4,467
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.