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 $100.00 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $100.00 | $102.33 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $48.98 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $151.36 | Professional | TC · Technical part | $50.12 | $56.23 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $112.20 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $128.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $741.31 | Facility | None | $177.83 | $295.12 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $151.36 | $169.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $53.70 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $112.20 | $190.55 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $107.15 | $165.96 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $95.50 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $48.98 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $75.86 | $162.18 |
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 $47.86 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $23.99 | Professional | 53 · Discontinued | $19.05 | $19.95 | $23.99 |
Where Connecticut sits
The same service costs 3.2 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· 18th of 51
$174
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.