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 $7.94 Median $9.77 Typical High $14.45 | Professional | None | $7.94 | $9.77 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $26.30 | Facility | None | $10.96 | $14.79 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $15.14 | Professional | None | $5.25 | $6.46 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $16.98 Typical High $53.70 | Facility | None | $7.08 | $16.98 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $42.66 | Professional | None | $18.20 | $20.42 | $42.66 |
ConnectiCare Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $39.81 | Professional | None | $6.31 | $8.51 | $39.81 |
Health New England Setting Facility Modifier None Typical Low $11.48 Median $11.75 Typical High $47.86 | Facility | None | $11.48 | $11.75 | $47.86 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $19.05 | Professional | None | $5.37 | $7.59 | $19.05 |
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 $4.37 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.37 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.74 | $1.95 | $1.95 |
Where Connecticut sits
The same service costs 7.9 times more in Vermont than in Washington, DC. 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· 40th of 51
$10.96
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.