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 $275.42 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $275.42 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $346.74 | Professional | TC · Technical part | $190.55 | $323.59 | $346.74 |
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 $269.15 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $269.15 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $134.90 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $177.83 | $354.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $107.15 | $120.23 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $239.88 | $812.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $616.60 Typical High $794.33 | Professional | None (both parts) | $309.03 | $616.60 | $794.33 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $501.19 Typical High $1,258.93 | Professional | None (both parts) | $281.84 | $501.19 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $128.82 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $199.53 | $426.58 | $1,000.00 |
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 $154.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $154.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $97.72 | $97.72 |
Where Connecticut sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 20th of 51
$479
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.