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 $15.85 Median $26.92 Typical High $40.74 | Professional | None | $15.85 | $26.92 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $72.44 | Facility | None | $30.20 | $40.74 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $44.67 | Professional | None | $15.14 | $17.78 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $46.77 Typical High $107.15 | Facility | None | $20.42 | $46.77 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $47.86 | Professional | None | $19.50 | $30.90 | $47.86 |
ConnectiCare Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $43.65 | Professional | None | $17.38 | $23.44 | $43.65 |
Health New England Setting Facility Modifier None Typical Low $32.36 Median $114.82 Typical High $165.96 | Facility | None | $32.36 | $114.82 | $165.96 |
United Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $52.48 | Professional | None | $14.79 | $25.70 | $52.48 |
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 $12.02 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.02 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.37 |
Where Connecticut sits
The same service costs 6.8 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
$30.20
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.