How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $85.11 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $85.11 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $128.82 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $165.96 | Facility | None | $58.88 | $89.13 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $89.13 | $141.25 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $34.67 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $107.15 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $398.11 | Facility | None | $77.62 | $114.82 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $58.88 | $120.23 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $15.49 | $32.36 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $89.13 Typical High $208.93 | Professional | TC · Technical part | $43.65 | $89.13 | $208.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $134.90 | $194.98 | $302.00 |
Health New England Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $79.43 | $158.49 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $19.05 | $46.77 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $131.83 Typical High $338.84 | Professional | TC · Technical part | $60.26 | $131.83 | $338.84 |
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 $38.90 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $38.90 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $15.49 | $34.67 | $34.67 |
Where Connecticut sits
The same service costs 5.5 times more in Alaska than in Alabama. 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.
Connecticut· 21st of 51
$141
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.