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 $5.50 Median $9.33 Typical High $12.02 | Professional | None | $5.50 | $9.33 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $25.70 | Facility | None | $10.72 | $14.13 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $14.45 | Professional | None | $5.13 | $6.17 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $16.60 Typical High $38.02 | Facility | None | $6.76 | $16.60 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $16.60 | Professional | None | $6.92 | $10.96 | $16.60 |
ConnectiCare Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $15.14 | Professional | None | $6.03 | $8.32 | $15.14 |
Health New England Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $57.54 | Facility | None | $40.74 | $40.74 | $57.54 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.59 Typical High $18.20 | Professional | None | $5.13 | $7.59 | $18.20 |
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 $4.17 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.17 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.66 | $1.86 | $1.86 |
Where Connecticut sits
The same service costs 12.6 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
$9.77
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.