How much rates vary
Facilitymedian $138 · 10th to 90th $98 to $389Professionalmedian $191 · 10th to 90th $91 to $316
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 $123.03 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $123.03 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $177.83 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $245.47 | Facility | None | $97.72 | $134.90 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $154.88 | $199.53 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $52.48 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $147.91 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $190.55 Typical High $537.03 | Facility | None | $87.10 | $190.55 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $72.44 | $134.90 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $25.70 | $41.69 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $79.43 Typical High $281.84 | Professional | TC · Technical part | $36.31 | $79.43 | $281.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $100.00 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $100.00 | $263.03 | $398.11 |
Health New England Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
Health New England Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $87.10 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $562.34 | Professional | None (both parts) | $102.33 | $204.17 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $26.92 | $60.26 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $85.11 | $181.97 | $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 $56.23 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $56.23 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $22.39 | $47.86 | $47.86 |
Where Connecticut sits
The same service costs 4.9 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· 19th of 51
$191
AK $468AL $95.50
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.