How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $47.86 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $47.86 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $50.12 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $20.42 | $21.38 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $26.92 | $28.84 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $47.86 | $47.86 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $20.89 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $27.54 | $27.54 | $38.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $20.42 Median $38.90 Typical High $87.10 | Professional | None (both parts) | $20.42 | $38.90 | $87.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $15.14 | $22.39 | $43.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $61.66 | Professional | TC · Technical part | $20.42 | $29.51 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $35.48 | $54.95 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $23.44 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $33.88 | $56.23 |
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 $23.99 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $23.99 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $9.55 | $14.13 | $14.13 |
Where New Hampshire sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 19th 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.