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 $162.18 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $162.18 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $70.79 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $131.83 | $181.97 |
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 $177.83 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $177.83 | $263.03 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $66.07 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $199.53 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $2,691.53 | Facility | None | $51.29 | $100.00 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $181.97 | $426.58 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $97.72 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $309.03 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $309.03 | $389.05 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $223.87 | $245.47 | $309.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $338.84 | $426.58 | $426.58 |
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 $154.88 Median $263.03 Typical High $676.08 | Professional | None (both parts) | $154.88 | $263.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $208.93 | Professional | 26 · Professional part | $38.02 | $63.10 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $117.49 | $208.93 | $478.63 |
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 $77.62 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $30.90 | $40.74 | $40.74 |
Where Connecticut sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 12th of 51
$275
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.