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 $2.09 Median $3.55 Typical High $4.68 | Professional | None | $2.09 | $3.55 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $5.37 Typical High $9.77 | Facility | None | $4.07 | $5.37 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.34 Typical High $5.50 | Professional | None | $1.86 | $2.34 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $6.03 Typical High $14.79 | Facility | None | $2.57 | $6.03 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $6.76 | Professional | None | $3.63 | $5.01 | $6.76 |
ConnectiCare Setting Professional Modifier None Typical Low $2.29 Median $3.16 Typical High $5.75 | Professional | None | $2.29 | $3.16 | $5.75 |
Health New England Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $4.17 Typical High $6.92 | Professional | None | $2.34 | $4.17 | $6.92 |
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 $1.38 Median $1.78 Typical High $1.78 | Professional | 52 · Reduced service | $1.38 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.55 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.55 | $0.71 | $0.71 |
Where Connecticut sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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
$4.07
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.