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 $6.03 Median $10.23 Typical High $13.18 | Professional | None | $6.03 | $10.23 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $28.18 | Facility | None | $11.48 | $15.49 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $15.85 | Professional | None | $5.62 | $6.76 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $17.78 Typical High $40.74 | Facility | None | $7.41 | $17.78 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $11.75 Typical High $18.20 | Professional | None | $7.41 | $11.75 | $18.20 |
ConnectiCare Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $16.60 | Professional | None | $6.61 | $8.91 | $16.60 |
Health New England Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $19.95 | Professional | None | $5.62 | $9.77 | $19.95 |
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 $4.57 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $4.57 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.82 | $2.04 | $2.04 |
Where Connecticut sits
The same service costs 11.7 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
$10.47
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.