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 $8.71 Median $11.75 Typical High $20.89 | Professional | None | $8.71 | $11.75 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $42.66 | Facility | None | $13.49 | $20.89 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $19.50 | Professional | None | $7.41 | $10.47 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $26.30 Typical High $61.66 | Facility | None | $11.22 | $26.30 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $26.30 | Professional | None | $10.23 | $15.14 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $10.23 Median $13.80 Typical High $23.44 | Professional | None | $10.23 | $13.80 | $23.44 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $89.13 | Facility | None | $38.02 | $38.02 | $89.13 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $30.20 | Professional | None | $8.71 | $11.22 | $30.20 |
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 $5.89 Median $5.89 Typical High $6.17 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.45 |
Where Connecticut sits
The same service costs 20.4 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
$13.49
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.