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 $81.28 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $43.65 | $43.65 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | TC · Technical part | $37.15 | $37.15 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $93.33 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $45.71 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $89.13 | $89.13 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $45.71 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $43.65 | $43.65 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $64.57 | $91.20 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $33.11 | $48.98 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $93.33 | Professional | TC · Technical part | $32.36 | $46.77 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $57.54 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $26.92 | $42.66 | $83.18 |
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 $40.74 Median $40.74 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $16.22 | $17.38 |
Where New Hampshire 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.
New Hampshire· 19th 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.