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 $30.90 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $30.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $16.22 | $20.89 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $26.92 | $35.48 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $16.22 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $22.91 | Professional | TC · Technical part | $14.79 | $19.50 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $239.88 | Facility | None | $66.07 | $81.28 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $30.20 | $30.20 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $13.80 | $13.80 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $16.22 | $38.90 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $39.81 | $57.54 | $66.07 |
Health New England Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $41.69 | $54.95 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $28.84 | $34.67 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $13.18 | $14.79 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $30.90 | Professional | TC · Technical part | $15.14 | $18.62 | $30.90 |
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 $15.49 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $7.94 | $7.94 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in New York. 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· 25th of 51
$35.48
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.