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 $213.80 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $213.80 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $48.98 | $52.48 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $162.18 | $190.55 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $199.53 | $302.00 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $41.69 | $57.54 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,621.81 | Facility | None | $588.84 | $741.31 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $281.84 | $346.74 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $72.44 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $275.42 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $295.12 | $371.54 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $177.83 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $190.55 | $354.81 |
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 $100.00 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $48.98 | $50.12 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 13th of 51
$302
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.