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 Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,096.48 | $1,819.70 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $371.54 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3.02 Median $3.39 Typical High $3.98 | Professional | None (both parts) | $3.02 | $3.39 | $3.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $4.47 Median $5.13 Typical High $6.46 | Professional | 50 · Both sides | $4.47 | $5.13 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $1,148.15 | Facility | None | $489.78 | $831.76 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
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 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $436.52 | $436.52 |
Where Connecticut sits
The same service costs 489.8 times more in Oklahoma than in Connecticut. 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· 51st of 51
$3.98
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.