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 $10.96 Median $18.62 Typical High $28.84 | Professional | None | $10.96 | $18.62 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $28.84 Typical High $51.29 | Facility | None | $21.38 | $28.84 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $31.62 | Professional | None | $10.23 | $12.59 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $33.11 Typical High $75.86 | Facility | None | $14.45 | $33.11 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $36.31 | Professional | None | $14.13 | $22.39 | $36.31 |
ConnectiCare Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $30.90 | Professional | None | $12.30 | $16.60 | $30.90 |
Health New England Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $36.31 | Professional | None | $10.47 | $15.49 | $36.31 |
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 $8.51 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.80 | $3.80 |
Where Connecticut sits
The same service costs 7.9 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· 33rd of 51
$20.89
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.