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 $6.17 Median $7.59 Typical High $12.59 | Professional | None | $6.17 | $7.59 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $28.84 | Facility | None | $8.71 | $14.45 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $11.75 | Professional | None | $5.01 | $6.92 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $18.20 Typical High $44.67 | Facility | None | $6.17 | $18.20 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $20.42 | Professional | None | $7.59 | $12.59 | $20.42 |
ConnectiCare Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $16.60 | Professional | None | $5.37 | $8.13 | $16.60 |
Health New England Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $20.42 | Professional | None | $5.75 | $8.51 | $20.42 |
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 $3.80 Median $3.80 Typical High $4.07 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.62 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.62 |
Where Connecticut sits
The same service costs 24.0 times more in Vermont than in New Jersey. 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· 48th of 51
$8.71
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.