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 $436.52 Median $436.52 Typical High $2,630.27 | Professional | None (both parts) | $436.52 | $436.52 | $2,630.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $147.91 | Professional | 26 · Professional part | $44.67 | $58.88 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $2,630.27 | Professional | TC · Technical part | $416.87 | $416.87 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,677.35 Typical High $8,128.31 | Professional | None (both parts) | $3,235.94 | $4,677.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $74.13 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $4,677.35 Typical High $8,128.31 | Professional | TC · Technical part | $3,235.94 | $4,677.35 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $17,782.79 | Facility | None | $1,174.90 | $1,778.28 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $323.59 | $371.54 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $74.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $269.15 | $302.00 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $346.74 Median $724.44 Typical High $6,309.57 | Professional | None (both parts) | $346.74 | $724.44 | $6,309.57 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $87.10 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $602.56 Typical High $4,466.84 | Professional | TC · Technical part | $295.12 | $602.56 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $3,548.13 Typical High $6,309.57 | Professional | None (both parts) | $354.81 | $3,548.13 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $58.88 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $3,467.37 Typical High $6,165.95 | Professional | TC · Technical part | $457.09 | $3,467.37 | $6,165.95 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $446.68 | Facility | None | $275.42 | $323.59 | $446.68 |
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 $218.78 Median $218.78 Typical High $1,318.26 | Professional | 52 · Reduced service | $218.78 | $218.78 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $524.81 | Professional | 53 · Discontinued | $87.10 | $87.10 | $524.81 |
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· 20th of 51
$1,072
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.