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 $6.31 Median $10.00 Typical High $14.13 | Professional | None | $6.31 | $10.00 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $15.85 Typical High $29.51 | Facility | None | $11.22 | $15.85 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.08 Typical High $15.49 | Professional | None | $5.89 | $7.08 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $19.05 Typical High $42.66 | Facility | None | $7.76 | $19.05 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $19.50 | Professional | None | $7.94 | $12.30 | $19.50 |
ConnectiCare Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $17.38 | Professional | None | $6.92 | $9.55 | $17.38 |
Health New England Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $20.89 | Professional | None | $5.89 | $8.71 | $20.89 |
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 $4.79 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.79 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.91 | $2.00 | $2.00 |
Where Connecticut sits
The same service costs 10.2 times more in Vermont than in Alabama. 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· 34th of 51
$10.96
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.