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 $10.00 Median $16.98 Typical High $25.70 | Professional | None | $10.00 | $16.98 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $46.77 | Facility | None | $19.50 | $26.30 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $26.92 | Professional | None | $9.33 | $11.48 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $30.20 Typical High $69.18 | Facility | None | $12.59 | $30.20 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $30.20 | Professional | None | $12.59 | $16.60 | $30.20 |
ConnectiCare Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $27.54 | Professional | None | $11.22 | $15.14 | $27.54 |
Health New England Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Facility | None | $87.10 | $87.10 | $102.33 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $33.11 | Professional | None | $9.33 | $14.13 | $33.11 |
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 $7.76 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $7.76 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.09 | $3.39 | $3.39 |
Where Connecticut sits
The same service costs 5.0 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· 32nd of 51
$19.05
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.