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 $8.91 Median $15.14 Typical High $22.39 | Professional | None | $8.91 | $15.14 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $41.69 | Facility | None | $17.38 | $22.91 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $10.00 Typical High $23.44 | Professional | None | $8.32 | $10.00 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $26.92 Typical High $67.61 | Facility | None | $10.96 | $26.92 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $27.54 | Professional | None | $11.22 | $17.38 | $27.54 |
ConnectiCare Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $25.12 | Professional | None | $10.00 | $13.49 | $25.12 |
Health New England Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $29.51 | Professional | None | $8.32 | $12.59 | $29.51 |
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 $6.76 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $6.76 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.69 | $3.02 | $3.02 |
Where Connecticut sits
The same service costs 7.9 times more in Vermont than in Maryland. 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
$16.98
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.