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 $3.98 Median $4.90 Typical High $7.24 | Professional | None | $3.98 | $4.90 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $7.41 Typical High $13.49 | Facility | None | $5.50 | $7.41 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $3.24 Typical High $7.59 | Professional | None | $2.63 | $3.24 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $8.51 Typical High $19.05 | Facility | None | $3.55 | $8.51 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $8.91 | Professional | None | $3.47 | $5.50 | $8.91 |
ConnectiCare Setting Professional Modifier None Typical Low $3.16 Median $4.27 Typical High $8.13 | Professional | None | $3.16 | $4.27 | $8.13 |
Health New England Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $51.29 | Facility | None | $25.70 | $25.70 | $51.29 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.17 Typical High $9.55 | Professional | None | $2.69 | $4.17 | $9.55 |
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 $2.19 Median $2.45 Typical High $2.45 | Professional | 52 · Reduced service | $2.19 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.98 Typical High $0.98 | Professional | 53 · Discontinued | $0.87 | $0.98 | $0.98 |
Where Connecticut sits
The same service costs 11.2 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· 32nd of 51
$5.25
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.