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 $2.40 Median $4.07 Typical High $6.03 | Professional | None | $2.40 | $4.07 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $6.17 Typical High $11.22 | Facility | None | $4.68 | $6.17 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $6.31 | Professional | None | $2.14 | $2.69 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $7.24 Typical High $17.38 | Facility | None | $2.95 | $7.24 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.37 Typical High $7.41 | Professional | None | $3.09 | $5.37 | $7.41 |
ConnectiCare Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $6.76 | Professional | None | $2.69 | $3.63 | $6.76 |
Health New England Setting Facility Modifier None Typical Low $5.01 Median $19.50 Typical High $32.36 | Facility | None | $5.01 | $19.50 | $32.36 |
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 $2.09 Median $3.31 Typical High $7.94 | Professional | None | $2.09 | $3.31 | $7.94 |
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 $1.82 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.82 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.72 | $0.81 | $0.81 |
Where Connecticut sits
The same service costs 15.8 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· 31st of 51
$4.57
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.