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 $1.95 Median $3.31 Typical High $4.37 | Professional | None | $1.95 | $3.31 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.01 Typical High $9.12 | Facility | None | $3.80 | $5.01 | $9.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $2.19 Typical High $5.13 | Professional | None | $1.74 | $2.19 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $5.89 Typical High $14.45 | Facility | None | $2.40 | $5.89 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $5.75 | Professional | None | $2.40 | $4.17 | $5.75 |
ConnectiCare Setting Professional Modifier None Typical Low $2.19 Median $2.95 Typical High $5.25 | Professional | None | $2.19 | $2.95 | $5.25 |
Health New England Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $21.38 | Facility | None | $14.45 | $19.95 | $21.38 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.69 Typical High $6.46 | Professional | None | $1.82 | $2.69 | $6.46 |
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 $1.48 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.48 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.59 | $0.66 | $0.66 |
Where Connecticut sits
The same service costs 10.2 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· 30th of 51
$3.72
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.