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 $2.24 Median $2.69 Typical High $3.98 | Professional | None | $2.24 | $2.69 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $4.68 Typical High $8.13 | Facility | None | $3.09 | $4.68 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $4.17 | Professional | None | $1.48 | $1.78 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $4.79 Typical High $10.72 | Facility | None | $2.04 | $4.79 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $7.59 | Professional | None | $1.95 | $3.31 | $7.59 |
ConnectiCare Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $4.37 | Professional | None | $1.78 | $2.40 | $4.37 |
Health New England Setting Facility Modifier None Typical Low $6.61 Median $16.98 Typical High $52.48 | Facility | None | $6.61 | $16.98 | $52.48 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.63 Typical High $12.59 | Professional | None | $1.51 | $2.63 | $12.59 |
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 $1.20 Median $1.35 Typical High $1.35 | Professional | 52 · Reduced service | $1.20 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.54 Typical High $0.54 | Professional | 53 · Discontinued | $0.48 | $0.54 | $0.54 |
Where Connecticut sits
The same service costs 28.2 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
$3.09
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.