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 $2.63 Median $4.07 Typical High $6.61 | Professional | None | $2.63 | $4.07 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $6.61 Typical High $12.30 | Facility | None | $4.68 | $6.61 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.95 Typical High $6.46 | Professional | None | $2.45 | $2.95 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.94 Typical High $19.05 | Facility | None | $3.39 | $7.94 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $5.75 Typical High $7.94 | Professional | None | $3.31 | $5.75 | $7.94 |
ConnectiCare Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $7.24 | Professional | None | $2.95 | $3.98 | $7.24 |
Health New England Setting Facility Modifier None Typical Low $5.01 Median $16.22 Typical High $20.89 | Facility | None | $5.01 | $16.22 | $20.89 |
United Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $10.47 | Facility | None | $1.38 | $1.38 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $8.71 | Professional | None | $2.09 | $3.63 | $8.71 |
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 $2.00 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.00 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.79 | $0.81 | $0.81 |
Where Connecticut sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 34th of 51
$4.68
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.