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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $33.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $15.49 | $16.60 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $33.88 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $24.55 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $21.38 | Professional | 26 · Professional part | $15.85 | $16.60 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $24.55 | Professional | TC · Technical part | $18.20 | $19.05 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | None (both parts) | $34.67 | $34.67 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $15.85 | $15.85 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $26.30 | Professional | TC · Technical part | $18.62 | $18.62 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $13.49 Median $27.54 Typical High $61.66 | Professional | None (both parts) | $13.49 | $27.54 | $61.66 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $17.38 | $33.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $14.79 | $25.12 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $25.12 | $39.81 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $11.48 | $17.38 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $13.49 | $23.99 | $41.69 |
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 $16.98 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $16.98 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.76 | $10.00 | $10.00 |
Where New Hampshire 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.
New Hampshire· 23rd 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.