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 $12.02 Median $15.14 Typical High $17.78 | Professional | None | $12.02 | $15.14 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $28.84 Typical High $56.23 | Facility | None | $17.38 | $28.84 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $23.44 | Professional | None | $10.00 | $13.80 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $36.31 Typical High $83.18 | Facility | None | $12.30 | $36.31 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $39.81 | Professional | None | $15.14 | $25.12 | $39.81 |
ConnectiCare Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $33.11 | Professional | None | $10.72 | $16.22 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $39.81 | Professional | None | $11.48 | $15.14 | $39.81 |
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 $7.59 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.24 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.24 |
Where Connecticut sits
The same service costs 9.8 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· 47th of 51
$17.38
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.