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 Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $354.81 | Professional | None (both parts) | $234.42 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $204.17 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,786.30 | $5,888.44 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $181.97 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $128.82 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $208.93 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $1,000.00 | Facility | None | $245.47 | $288.40 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $295.12 | $407.38 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $104.71 | $117.49 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $295.12 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $288.40 | $346.74 | $398.11 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $208.93 | $331.13 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $72.44 | $109.65 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $234.42 | $446.68 |
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 $114.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $114.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $45.71 | $67.61 | $67.61 |
Where Connecticut sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 14th of 51
$355
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.