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 $45.71 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $45.71 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $11.75 | $31.62 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $33.88 | $89.13 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $134.90 | $186.21 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $30.90 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $131.83 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $398.11 | Professional | None (both parts) | $117.49 | $173.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $87.10 | Professional | 26 · Professional part | $23.99 | $32.36 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $138.04 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $151.36 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $151.36 | $245.47 | $436.52 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $24.55 | $47.86 | $91.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $181.97 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $100.00 | $223.87 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $75.86 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $177.83 | $269.15 |
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 $22.91 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $22.91 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $9.12 | $23.99 | $28.18 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$186
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.