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 $5.62 Median $6.76 Typical High $10.00 | Professional | None | $5.62 | $6.76 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $18.62 | Facility | None | $7.76 | $10.23 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $10.47 | Professional | None | $3.55 | $4.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $12.02 Typical High $28.84 | Facility | None | $5.25 | $12.02 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $12.88 | Professional | None | $6.61 | $9.55 | $12.88 |
ConnectiCare Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $10.96 | Professional | None | $4.47 | $6.03 | $10.96 |
Health New England Setting Facility Modifier None Typical Low $7.59 Median $41.69 Typical High $58.88 | Facility | None | $7.59 | $41.69 | $58.88 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $13.18 | Professional | None | $3.80 | $5.50 | $13.18 |
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 $3.02 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.02 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.23 | $1.35 | $1.35 |
Where Connecticut sits
The same service costs 21.4 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
$7.76
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.