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 $23.44 | Professional | None | $9.77 | $16.60 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $25.12 Typical High $45.71 | Facility | None | $19.05 | $25.12 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $25.70 | Professional | None | $9.12 | $10.96 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $29.51 Typical High $74.13 | Facility | None | $12.59 | $29.51 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $30.20 | Professional | None | $12.30 | $19.05 | $30.20 |
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 $18.62 Median $20.42 Typical High $75.86 | Facility | None | $18.62 | $20.42 | $75.86 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $32.36 | Professional | None | $9.12 | $14.13 | $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 $7.41 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $7.41 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.95 | $3.31 | $3.31 |
Where Connecticut sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 31st of 51
$18.20
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.