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 $426.58 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $426.58 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $40.74 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $758.58 | Professional | TC · Technical part | $416.87 | $416.87 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $4,677.35 Typical High $8,128.31 | Professional | None (both parts) | $1,258.93 | $4,677.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $54.95 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $3,981.07 Typical High $6,760.83 | Professional | TC · Technical part | $1,348.96 | $3,981.07 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $17,782.79 | Facility | None | $1,174.90 | $1,819.70 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $309.03 | $371.54 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $53.70 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $269.15 | $309.03 | $660.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Professional | None (both parts) | $331.13 | $691.83 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $64.57 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $602.56 Typical High $2,290.87 | Professional | TC · Technical part | $295.12 | $602.56 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,089.30 Typical High $3,890.45 | Professional | None (both parts) | $331.13 | $2,089.30 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $54.95 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $2,041.74 Typical High $3,801.89 | Professional | TC · Technical part | $457.09 | $2,041.74 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $426.58 | Facility | None | $269.15 | $316.23 | $426.58 |
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 $213.80 Median $213.80 Typical High $389.05 | Professional | 52 · Reduced service | $213.80 | $213.80 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $87.10 | $154.88 |
Where New Hampshire sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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
$977
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.