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 $6.92 Median $11.75 Typical High $15.49 | Professional | None | $6.92 | $11.75 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $32.36 | Facility | None | $13.49 | $17.78 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $18.20 | Professional | None | $6.46 | $7.76 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $20.42 Typical High $48.98 | Facility | None | $8.51 | $20.42 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $20.89 | Professional | None | $8.71 | $13.80 | $20.89 |
ConnectiCare Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $19.05 | Professional | None | $7.59 | $10.47 | $19.05 |
Health New England Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $22.91 | Professional | None | $6.46 | $10.47 | $22.91 |
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 $5.25 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.25 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.09 | $2.34 | $2.34 |
Where Connecticut sits
The same service costs 8.3 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· 37th of 51
$12.02
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.