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 $54.95 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $54.95 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $14.45 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $34.67 Typical High $46.77 | Professional | None (both parts) | $20.89 | $34.67 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $16.60 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $20.89 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $512.86 | Facility | None | $181.97 | $251.19 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $56.23 | $56.23 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $10.96 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $44.67 | $44.67 | $89.13 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $24.55 Median $40.74 Typical High $128.82 | Professional | None (both parts) | $24.55 | $40.74 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $46.77 | $54.95 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $10.96 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $38.02 | $42.66 | $69.18 |
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 $27.54 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $27.54 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $10.96 | $14.79 | $14.79 |
Where Connecticut sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 28th of 51
$52.48
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.