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 $26.30 Median $31.62 Typical High $40.74 | Professional | None | $26.30 | $31.62 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $87.10 | Facility | None | $35.48 | $48.98 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $52.48 | Professional | None | $17.78 | $20.89 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $141.25 | Facility | None | $35.48 | $56.23 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $87.10 | Professional | None | $23.44 | $42.66 | $87.10 |
ConnectiCare Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $75.86 | Professional | None | $34.67 | $53.70 | $75.86 |
Health New England Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $107.15 | Facility | None | $38.90 | $75.86 | $107.15 |
Health New England Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $77.62 | Professional | None | $35.48 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $54.95 | Professional | None | $14.79 | $21.38 | $54.95 |
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 $12.59 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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· 31st of 51
$35.48
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.