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 Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $79.43 | Professional | None (both parts) | $30.20 | $38.02 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $15.14 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $22.91 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $48.98 | $83.18 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $33.88 | $46.77 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $14.13 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $30.20 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $33.88 | $45.71 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $15.85 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $30.90 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $60.26 Typical High $125.89 | Professional | None (both parts) | $36.31 | $60.26 | $125.89 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $20.42 Typical High $40.74 | Professional | 26 · Professional part | $12.02 | $20.42 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $25.12 | $40.74 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $125.89 | Professional | None (both parts) | $42.66 | $63.10 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $14.45 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $41.69 | $79.43 |
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 $15.14 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $15.14 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $7.59 | $8.13 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$50.12
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.