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 $12.02 Typical High $15.49 | Professional | None | $6.92 | $12.02 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $18.20 Typical High $32.36 | Facility | None | $13.49 | $18.20 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $18.62 | Professional | None | $6.46 | $7.94 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $20.89 Typical High $53.70 | Facility | None | $9.12 | $20.89 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $21.38 | Professional | None | $8.71 | $13.80 | $21.38 |
ConnectiCare Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $19.50 | Professional | None | $7.76 | $10.47 | $19.50 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.77 Typical High $22.91 | Professional | None | $5.50 | $9.77 | $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 $5.37 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.37 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.14 | $2.40 | $2.40 |
Where Connecticut sits
The same service costs 9.1 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· 30th of 51
$12.88
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.