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 $7.41 Median $12.59 Typical High $16.60 | Professional | None | $7.41 | $12.59 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $19.05 Typical High $33.88 | Facility | None | $14.13 | $19.05 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $19.50 | Professional | None | $6.76 | $8.32 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $21.88 Typical High $50.12 | Facility | None | $9.12 | $21.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $22.39 | Professional | None | $9.12 | $14.45 | $22.39 |
ConnectiCare Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $20.42 | Professional | None | $8.13 | $10.96 | $20.42 |
Health New England Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $24.55 | Professional | None | $6.92 | $12.02 | $24.55 |
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 $5.62 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $5.62 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.24 | $2.51 | $2.51 |
Where Connecticut sits
The same service costs 28.8 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· 29th of 51
$13.49
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.