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 $10.47 Median $14.13 Typical High $25.12 | Professional | None | $10.47 | $14.13 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $52.48 | Facility | None | $15.85 | $25.70 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $23.44 | Professional | None | $9.12 | $12.59 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $31.62 Typical High $75.86 | Facility | None | $13.80 | $31.62 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $32.36 | Professional | None | $12.30 | $18.62 | $32.36 |
ConnectiCare Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $27.54 | Professional | None | $12.30 | $16.98 | $27.54 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $37.15 | Professional | None | $8.91 | $13.49 | $37.15 |
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 $6.92 Median $6.92 Typical High $7.41 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.95 |
Where Connecticut sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 46th of 51
$16.22
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.