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 $10.72 Median $12.88 Typical High $19.50 | Professional | None | $10.72 | $12.88 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $19.95 Typical High $35.48 | Facility | None | $14.79 | $19.95 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $20.42 | Professional | None | $7.08 | $8.71 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.91 Typical High $54.95 | Facility | None | $10.00 | $22.91 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $22.91 | Professional | None | $9.55 | $15.14 | $22.91 |
ConnectiCare Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $20.89 | Professional | None | $8.51 | $11.48 | $20.89 |
Health New England Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $79.43 | Facility | None | $56.23 | $56.23 | $79.43 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.72 Typical High $25.12 | Professional | None | $6.03 | $10.72 | $25.12 |
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 $5.89 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $5.89 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $2.34 | $2.57 | $2.57 |
Where Connecticut sits
The same service costs 8.3 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· 37th of 51
$13.49
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.