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 $6.31 Median $10.96 Typical High $14.45 | Professional | None | $6.31 | $10.96 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $29.51 | Facility | None | $12.30 | $16.60 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $16.98 | Professional | None | $5.89 | $7.24 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $19.05 Typical High $44.67 | Facility | None | $7.94 | $19.05 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $19.50 | Professional | None | $8.13 | $12.59 | $19.50 |
ConnectiCare Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $17.78 | Professional | None | $7.08 | $9.55 | $17.78 |
Health New England Setting Facility Modifier None Typical Low $39.81 Median $48.98 Typical High $66.07 | Facility | None | $39.81 | $48.98 | $66.07 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $21.38 | Professional | None | $6.03 | $8.91 | $21.38 |
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 $4.90 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $4.90 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $1.95 | $2.19 | $2.19 |
Where Connecticut sits
The same service costs 9.5 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· 31st 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.