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 $3.02 Median $5.13 Typical High $6.61 | Professional | None | $3.02 | $5.13 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $7.76 Typical High $14.13 | Facility | None | $5.89 | $7.76 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.39 Typical High $7.94 | Professional | None | $2.82 | $3.39 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $9.12 Typical High $20.42 | Facility | None | $3.72 | $9.12 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $5.75 Typical High $8.91 | Professional | None | $3.72 | $5.75 | $8.91 |
ConnectiCare Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $8.13 | Professional | None | $3.39 | $4.57 | $8.13 |
Health New England Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Facility | None | $30.20 | $30.20 | $36.31 |
United Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $10.00 | Professional | None | $2.82 | $5.01 | $10.00 |
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 $2.29 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.29 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.91 | $1.02 | $1.02 |
Where Connecticut sits
The same service costs 13.5 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· 35th of 51
$5.37
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.