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 $112.20 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $112.20 | $134.90 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $45.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $66.07 | $89.13 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $162.18 | $223.87 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $50.12 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $131.83 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $138.04 | $194.98 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $57.54 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $144.54 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $537.03 | Professional | None (both parts) | $141.25 | $234.42 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $69.18 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $371.54 | Professional | TC · Technical part | $83.18 | $158.49 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $109.65 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $69.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $66.07 | $102.33 | $151.36 |
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 $56.23 Median $67.61 Typical High $89.13 | Professional | 52 · Reduced service | $56.23 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $26.92 | $35.48 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$204
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.