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 $48.98 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $48.98 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $7.94 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $69.18 | Professional | None (both parts) | $58.88 | $60.26 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $10.72 | Professional | 26 · Professional part | $9.12 | $10.23 | $10.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $50.12 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $199.53 | Facility | None | $83.18 | $165.96 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $48.98 | $50.12 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $8.13 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $41.69 | $63.10 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $41.69 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $41.69 | $66.07 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $34.67 | $47.86 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $6.92 | $8.13 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $39.81 | $63.10 |
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 $24.55 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $24.55 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $9.77 | $13.18 | $13.18 |
Where Connecticut sits
The same service costs 3.5 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· 17th of 51
$58.88
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.