How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 (both parts) Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $45.71 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $22.91 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $245.47 | Facility | None | $112.20 | $154.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $63.10 | Professional | None (both parts) | $37.15 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $27.54 | Professional | 26 · Professional part | $8.71 | $10.23 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $23.99 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $75.86 Typical High $89.13 | Facility | None | $25.70 | $75.86 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $70.79 | Professional | None (both parts) | $61.66 | $67.61 | $70.79 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $64.57 | $83.18 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $38.90 | $69.18 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $18.62 | $32.36 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $39.81 Typical High $85.11 | Professional | TC · Technical part | $19.95 | $39.81 | $85.11 |
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 $22.91 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $22.91 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.12 | $10.72 | $10.72 |
Where Connecticut sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 25th of 51
$53.70
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.