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 $69.18 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $69.18 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $30.20 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $67.61 | Professional | None (both parts) | $28.18 | $28.18 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $41.69 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $61.66 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $102.33 | $117.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $39.81 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $75.86 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $181.97 | $275.42 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $47.86 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $234.42 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $169.82 | $218.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $194.98 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $234.42 | Facility | None | $144.54 | $169.82 | $234.42 |
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 $34.67 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $17.78 | $17.78 |
Where New Hampshire sits
The same service costs 4.4 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.
New Hampshire· 8th of 51
$186
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.