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 (both parts) Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | None (both parts) | $8.71 | $10.96 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $8.71 | $10.96 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $346.74 Typical High $691.83 | Facility | None | $64.57 | $346.74 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $162.18 | Professional | None (both parts) | $56.23 | $75.86 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $72.44 | Professional | TC · Technical part | $22.91 | $26.92 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $8.13 Median $12.02 Typical High $23.99 | Professional | None (both parts) | $8.13 | $12.02 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $12.02 Typical High $23.99 | Professional | TC · Technical part | $7.94 | $12.02 | $23.99 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $93.33 | Professional | 26 · Professional part | $29.51 | $37.15 | $93.33 |
Where Connecticut sits
The same service costs 10.5 times more in California than in Mississippi. 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· 4th of 51
$64.57
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.