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 $9.77 Median $16.60 Typical High $25.12 | Professional | None | $9.77 | $16.60 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $45.71 | Facility | None | $19.05 | $25.70 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $28.18 | Professional | None | $9.12 | $11.22 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $70.79 | Facility | None | $12.88 | $29.51 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $32.36 | Professional | None | $16.60 | $23.99 | $32.36 |
ConnectiCare Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $27.54 | Professional | None | $10.96 | $14.79 | $27.54 |
Health New England Setting Facility Modifier None Typical Low $20.42 Median $72.44 Typical High $107.15 | Facility | None | $20.42 | $72.44 | $107.15 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $32.36 | Professional | None | $9.33 | $13.80 | $32.36 |
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 $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $7.59 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.02 | $3.39 | $3.39 |
Where Connecticut sits
The same service costs 6.8 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· 29th 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.