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 $3.09 Median $5.25 Typical High $7.76 | Professional | None | $3.09 | $5.25 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $7.94 Typical High $14.45 | Facility | None | $6.03 | $7.94 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $8.13 | Professional | None | $2.75 | $3.47 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $9.12 Typical High $21.88 | Facility | None | $3.98 | $9.12 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $6.61 Typical High $9.33 | Professional | None | $3.89 | $6.61 | $9.33 |
ConnectiCare Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $8.51 | Professional | None | $3.39 | $4.57 | $8.51 |
Health New England Setting Facility Modifier None Typical Low $5.89 Median $22.39 Typical High $36.31 | Facility | None | $5.89 | $22.39 | $36.31 |
United Setting Professional Modifier None Typical Low $2.88 Median $5.13 Typical High $10.23 | Professional | None | $2.88 | $5.13 | $10.23 |
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 $2.34 Median $2.63 Typical High $2.63 | Professional | 52 · Reduced service | $2.34 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $0.93 | $1.05 | $1.05 |
Where Connecticut sits
The same service costs 12.9 times more in Vermont 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· 29th of 51
$5.89
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.