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 $8.13 Median $13.80 Typical High $18.20 | Professional | None | $8.13 | $13.80 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $20.89 Typical High $38.02 | Facility | None | $15.85 | $20.89 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $21.38 | Professional | None | $7.59 | $9.12 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $24.55 Typical High $56.23 | Facility | None | $10.00 | $24.55 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $24.55 | Professional | None | $10.23 | $16.22 | $24.55 |
ConnectiCare Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $22.39 | Professional | None | $9.12 | $12.30 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $13.49 Typical High $30.90 | Professional | None | $7.59 | $13.49 | $30.90 |
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 $6.17 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.17 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.45 | $2.75 | $2.75 |
Where Connecticut sits
The same service costs 20.9 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· 28th of 51
$15.49
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.