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 $61.66 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $389.05 | Facility | None | $181.97 | $245.47 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $107.15 | Professional | None (both parts) | $47.86 | $66.07 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $79.43 Typical High $125.89 | Facility | None | $39.81 | $79.43 | $125.89 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $58.88 | $93.33 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $33.11 | $54.95 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $81.28 | Professional | TC · Technical part | $23.99 | $39.81 | $81.28 |
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 $30.90 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $13.49 | $13.49 |
Where Connecticut sits
The same service costs 14.8 times more in Texas 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· 30th of 51
$67.61
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.