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 $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $933.25 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $831.76 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,698.24 | Facility | None | $1,202.26 | $1,348.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,380.38 Typical High $1,862.09 | Professional | None (both parts) | $870.96 | $1,380.38 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $173.78 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,230.27 Typical High $1,621.81 | Professional | TC · Technical part | $758.58 | $1,230.27 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $3,090.30 | Facility | None | $1,096.48 | $2,454.71 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,548.82 Typical High $2,398.83 | Professional | None (both parts) | $1,148.15 | $1,548.82 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $309.03 | Professional | 26 · Professional part | $144.54 | $181.97 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,348.96 Typical High $2,089.30 | Professional | TC · Technical part | $1,000.00 | $1,348.96 | $2,089.30 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,548.82 Typical High $1,995.26 | Professional | None (both parts) | $1,174.90 | $1,548.82 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,445.44 Typical High $2,511.89 | Professional | None (both parts) | $977.24 | $1,445.44 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $309.03 | Professional | 26 · Professional part | $123.03 | $177.83 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,258.93 Typical High $2,187.76 | Professional | TC · Technical part | $870.96 | $1,258.93 | $2,187.76 |
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 $467.74 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $467.74 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $190.55 | $263.03 | $263.03 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 12th of 51
$1,380
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.