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 $31.62 Median $54.95 Typical High $58.88 | Professional | None (both parts) | $31.62 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.05 Typical High $19.50 | Professional | 26 · Professional part | $11.22 | $19.05 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $35.48 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $30.90 | $47.86 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $17.78 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $33.88 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $100.00 Typical High $107.15 | Facility | None | $93.33 | $100.00 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $41.69 | $53.70 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $19.50 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $33.11 | $51.29 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $40.74 | $52.48 | $67.61 |
Health New England Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Facility | None | $309.03 | $309.03 | $316.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.88 Typical High $57.54 | Professional | None (both parts) | $18.20 | $21.88 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $35.48 | $51.29 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $19.05 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $32.36 | $63.10 |
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 $14.79 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $14.79 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $5.89 | $10.96 | $10.96 |
Where Connecticut sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 11th of 51
$52.48
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.