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 $4.79 Median $8.13 Typical High $12.02 | Professional | None | $4.79 | $8.13 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $12.30 Typical High $22.39 | Facility | None | $9.33 | $12.30 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $12.59 | Professional | None | $4.47 | $5.37 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.45 Typical High $33.11 | Facility | None | $6.31 | $14.45 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $14.79 | Professional | None | $6.17 | $9.55 | $14.79 |
ConnectiCare Setting Professional Modifier None Typical Low $5.37 Median $7.24 Typical High $13.49 | Professional | None | $5.37 | $7.24 | $13.49 |
Health New England Setting Facility Modifier None Typical Low $9.12 Median $53.70 Typical High $66.07 | Facility | None | $9.12 | $53.70 | $66.07 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $15.85 | Professional | None | $4.47 | $6.61 | $15.85 |
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 $3.63 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $3.63 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.45 | $1.62 | $1.62 |
Where Connecticut sits
The same service costs 10.7 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· 33rd of 51
$9.12
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.