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 $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $165.96 | $165.96 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $245.47 | $338.84 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $56.23 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $229.09 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $234.42 | $316.23 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $64.57 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $257.04 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $269.15 | $407.38 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $81.28 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $323.59 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $234.42 | $338.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $81.28 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $263.03 | $416.87 |
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 $112.20 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $45.71 | $53.70 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$339
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.