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 $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $134.90 | Professional | None (both parts) | $54.95 | $58.88 | $134.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $28.18 | $60.26 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $33.88 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $134.90 | Professional | None (both parts) | $48.98 | $67.61 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $33.11 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $36.31 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $72.44 | Facility | None | $45.71 | $53.70 | $72.44 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Where New Hampshire 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.
New Hampshire· 24th of 51
$54.95
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.