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 $11.75 Median $19.95 Typical High $20.42 | Professional | None | $11.75 | $19.95 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $54.95 | Facility | None | $22.91 | $30.20 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $30.90 | Professional | None | $10.96 | $13.18 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $34.67 Typical High $79.43 | Facility | None | $14.45 | $34.67 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $35.48 | Professional | None | $14.79 | $22.91 | $35.48 |
ConnectiCare Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $32.36 | Professional | None | $12.88 | $17.78 | $32.36 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $38.90 | Professional | None | $10.96 | $19.05 | $38.90 |
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 $8.91 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $8.91 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.55 | $3.98 | $3.98 |
Where Connecticut sits
The same service costs 13.5 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· 29th of 51
$21.88
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.