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 $2.69 Median $4.37 Typical High $6.03 | Professional | None | $2.69 | $4.37 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $6.76 Typical High $12.59 | Facility | None | $5.01 | $6.76 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $6.92 | Professional | None | $2.40 | $3.02 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.76 Typical High $17.78 | Facility | None | $3.31 | $7.76 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $5.13 Typical High $7.94 | Professional | None | $3.31 | $5.13 | $7.94 |
ConnectiCare Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $7.24 | Professional | None | $3.02 | $4.07 | $7.24 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.63 Typical High $8.91 | Professional | None | $2.14 | $3.63 | $8.91 |
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 $2.04 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.04 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.81 | $0.87 | $0.87 |
Where Connecticut sits
The same service costs 9.3 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· 37th of 51
$4.79
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.