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 $7.76 Median $13.18 Typical High $17.38 | Professional | None | $7.76 | $13.18 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $19.95 Typical High $36.31 | Facility | None | $15.14 | $19.95 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $20.42 | Professional | None | $7.24 | $8.71 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $23.44 Typical High $53.70 | Facility | None | $9.55 | $23.44 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $23.44 | Professional | None | $9.77 | $15.49 | $23.44 |
ConnectiCare Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $21.38 | Professional | None | $8.71 | $11.75 | $21.38 |
Health New England Setting Facility Modifier None Typical Low $43.65 Median $77.62 Typical High $85.11 | Facility | None | $43.65 | $77.62 | $85.11 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $25.70 | Professional | None | $6.46 | $10.23 | $25.70 |
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 $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $5.89 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.34 | $2.63 | $2.63 |
Where Connecticut sits
The same service costs 8.1 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· 34th of 51
$13.80
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.