How much rates vary
Facilitymedian $1,622 · 10th to 90th $126 to $5,888Professionalmedian $155 · 10th to 90th $91 to $214
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 $93.33 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $93.33 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $45.71 | $64.57 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $85.11 | $154.88 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $75.86 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $43.65 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $1,000.00 | Facility | None | $107.15 | $128.82 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $125.89 | $147.91 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $75.86 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $72.44 | $104.71 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $162.18 | $162.18 | $208.93 |
Health New England Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
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 $83.18 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $83.18 | $131.83 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $45.71 | $67.61 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $35.48 | $63.10 | $125.89 |
4 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 $46.77 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $46.77 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $18.62 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $13.80 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $9.33 | $14.45 | $14.45 |
Where Connecticut sits
The same service costs 5.9 times more in Alaska than in Alabama. 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
$155
AK $331AL $56.23
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.