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 $1.78 Median $2.14 Typical High $3.16 | Professional | None | $1.78 | $2.14 | $3.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $3.24 Typical High $5.89 | Facility | None | $2.45 | $3.24 | $5.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.41 Typical High $3.31 | Professional | None | $1.12 | $1.41 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $3.80 Typical High $9.12 | Facility | None | $1.55 | $3.80 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $3.98 | Professional | None | $2.09 | $2.95 | $3.98 |
ConnectiCare Setting Professional Modifier None Typical Low $1.41 Median $2.29 Typical High $3.31 | Professional | None | $1.41 | $2.29 | $3.31 |
Health New England Setting Facility Modifier None Typical Low $6.17 Median $11.75 Typical High $14.13 | Facility | None | $6.17 | $11.75 | $14.13 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.57 Typical High $4.17 | Professional | None | $1.41 | $2.57 | $4.17 |
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 $0.95 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $0.95 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.38 | $0.43 | $0.43 |
Where Connecticut sits
The same service costs 17.0 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
$2.45
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.