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 $26.92 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $26.92 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $18.62 | Professional | 26 · Professional part | $13.49 | $17.38 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $85.11 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $93.33 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $524.81 | Facility | None | $204.17 | $416.87 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $102.33 | $141.25 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $48.98 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $91.20 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $165.96 | $263.03 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $269.15 | $323.59 |
Well Sense Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,754.40 | Facility | None | $3,630.78 | $3,630.78 | $5,754.40 |
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 $13.49 Median $16.98 Typical High $18.20 | Professional | 52 · Reduced service | $13.49 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $6.76 | $7.24 |
Where New Hampshire sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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
$145
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.