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 $4.57 Median $7.76 Typical High $10.23 | Professional | None | $4.57 | $7.76 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $11.75 Typical High $21.38 | Facility | None | $8.91 | $11.75 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $12.30 | Professional | None | $4.27 | $5.25 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $13.80 Typical High $30.90 | Facility | None | $6.03 | $13.80 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $14.13 | Professional | None | $5.62 | $7.76 | $14.13 |
ConnectiCare Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $12.88 | Professional | None | $5.13 | $6.92 | $12.88 |
Health New England Setting Facility Modifier None Typical Low $23.44 Median $46.77 Typical High $100.00 | Facility | None | $23.44 | $46.77 | $100.00 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $44.67 | Facility | None | $2.95 | $2.95 | $44.67 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $15.14 | Professional | None | $4.37 | $6.31 | $15.14 |
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 $3.55 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.55 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.41 | $1.55 | $1.55 |
Where Connecticut sits
The same service costs 13.2 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· 34th of 51
$8.32
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.