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 $4.27 Median $7.24 Typical High $9.77 | Professional | None | $4.27 | $7.24 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $11.22 Typical High $19.95 | Facility | None | $8.32 | $11.22 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $11.48 | Professional | None | $3.98 | $4.79 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.88 Typical High $30.20 | Facility | None | $5.37 | $12.88 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $13.18 | Professional | None | $5.50 | $7.24 | $13.18 |
ConnectiCare Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $12.02 | Professional | None | $4.79 | $6.46 | $12.02 |
Health New England Setting Facility Modifier None Typical Low $21.88 Median $56.23 Typical High $91.20 | Facility | None | $21.88 | $56.23 | $91.20 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.31 Typical High $14.13 | Professional | None | $4.07 | $6.31 | $14.13 |
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 $3.16 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.16 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.45 | $1.45 |
Where Connecticut sits
The same service costs 5.6 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
$7.59
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.