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 $56.23 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $56.23 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $14.13 | $45.71 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $107.15 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $64.57 | $144.54 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $27.54 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $120.23 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $691.83 | Facility | None | $257.04 | $398.11 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $51.29 | $151.36 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $15.14 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $35.48 | $107.15 | $213.80 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $93.33 | $109.65 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $57.54 | $162.18 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $50.12 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $66.07 | $131.83 | $257.04 |
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 $60.26 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $32.36 | $32.36 |
Where Connecticut sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 25th of 51
$151
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.