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 $5.37 Median $9.12 Typical High $13.80 | Professional | None | $5.37 | $9.12 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $25.12 | Facility | None | $10.47 | $14.13 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $14.45 | Professional | None | $5.01 | $6.17 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $16.22 Typical High $37.15 | Facility | None | $6.76 | $16.22 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $16.22 | Professional | None | $6.76 | $10.72 | $16.22 |
ConnectiCare Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $14.79 | Professional | None | $6.03 | $8.13 | $14.79 |
Health New England Setting Facility Modifier None Typical Low $10.23 Median $54.95 Typical High $75.86 | Facility | None | $10.23 | $54.95 | $75.86 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $17.78 | Professional | None | $5.13 | $7.41 | $17.78 |
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 $4.17 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.17 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.66 | $1.82 | $1.82 |
Where Connecticut sits
The same service costs 26.9 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· 33rd of 51
$10.23
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.