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 $75.86 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $75.86 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $70.79 | $93.33 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $46.77 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $46.77 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $537.03 | Facility | None | $151.36 | $181.97 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $75.86 | $75.86 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $39.81 | $39.81 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $35.48 | $35.48 | $60.26 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $74.13 | $74.13 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $64.57 | $77.62 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $40.74 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $36.31 | $47.86 |
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 $38.02 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $19.95 | $19.95 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$93.33
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.