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 $660.69 | Professional | None (both parts) | $245.47 | $245.47 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $26.92 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $234.42 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $436.52 | $812.83 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $35.48 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $676.08 Typical High $1,202.26 | Professional | TC · Technical part | $524.81 | $676.08 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $3,019.95 | Facility | None | $245.47 | $389.05 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $85.11 | $100.00 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $35.48 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $64.57 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $181.97 Typical High $891.25 | Professional | None (both parts) | $87.10 | $181.97 | $891.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $42.66 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $123.03 Typical High $691.83 | Professional | TC · Technical part | $60.26 | $123.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $89.13 | $660.69 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $35.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $602.56 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $602.56 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $109.65 | Facility | None | $69.18 | $81.28 | $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 $331.13 | Professional | 52 · Reduced service | $123.03 | $123.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $134.90 | Professional | 53 · Discontinued | $48.98 | $48.98 | $134.90 |
Where New Hampshire sits
The same service costs 8.7 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· 19th of 51
$288
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.