How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $245.47 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $245.47 | $245.47 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $23.99 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $234.42 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $562.34 | $812.83 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $31.62 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $812.83 Typical High $1,412.54 | Professional | TC · Technical part | $562.34 | $812.83 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $3,019.95 | Facility | None | $186.21 | $295.12 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $165.96 | Professional | None (both parts) | $67.61 | $79.43 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $31.62 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $109.65 | Professional | TC · Technical part | $42.66 | $50.12 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $1,148.15 | Professional | None (both parts) | $87.10 | $177.83 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $37.15 | $69.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $831.76 | Professional | TC · Technical part | $63.10 | $125.89 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $645.65 Typical High $1,258.93 | Professional | None (both parts) | $87.10 | $645.65 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $30.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $354.81 | $630.96 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $109.65 | Facility | None | $67.61 | $79.43 | $109.65 |
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 $123.03 Median $123.03 Typical High $223.87 | Professional | 52 · Reduced service | $123.03 | $123.03 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | 53 · Discontinued | $48.98 | $48.98 | $89.13 |
Where New Hampshire sits
The same service costs 11.2 times more in Colorado than in Michigan. 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.
New Hampshire· 21st of 51
$282
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.