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 $4.47 Typical High $6.76 | Professional | None | $2.63 | $4.47 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $6.92 Typical High $12.30 | Facility | None | $5.13 | $6.92 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $7.08 | Professional | None | $2.45 | $3.02 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.94 Typical High $17.78 | Facility | None | $3.47 | $7.94 | $17.78 |
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 $4.90 Typical High $7.24 | Professional | None | $2.95 | $4.90 | $7.24 |
Health New England Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $43.65 | Facility | None | $18.20 | $20.89 | $43.65 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.72 Typical High $8.71 | Professional | None | $2.09 | $3.72 | $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 $2.04 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $2.04 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.81 | $0.89 | $0.89 |
Where Connecticut sits
The same service costs 8.9 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· 33rd of 51
$5.01
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.