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 $56.23 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $56.23 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $51.29 | $67.61 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $37.15 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $22.91 | $30.20 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $97.72 Typical High $275.42 | Facility | None | $46.77 | $97.72 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $56.23 | $56.23 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $33.11 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $33.11 | Professional | TC · Technical part | $21.88 | $23.99 | $33.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $70.79 | $75.86 | $107.15 |
Health New England Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $97.72 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $43.65 | $56.23 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $33.11 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $30.20 | Professional | TC · Technical part | $15.85 | $22.91 | $30.20 |
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 $28.18 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $28.18 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $11.22 | $15.14 | $15.14 |
Where Connecticut sits
The same service costs 3.7 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· 18th of 51
$67.61
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.