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 $16.60 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $16.60 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $13.18 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | TC · Technical part | $3.16 | $3.63 | $3.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.99 Typical High $28.18 | Professional | None (both parts) | $18.20 | $23.99 | $28.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $18.62 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.13 Typical High $6.03 | Professional | TC · Technical part | $3.89 | $5.13 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $95.50 Typical High $436.52 | Facility | None | $13.80 | $95.50 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $37.15 | $64.57 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $17.78 | $19.95 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $10.23 | $43.65 | $43.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $20.89 | $29.51 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $20.42 Typical High $57.54 | Professional | None (both parts) | $14.79 | $20.42 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $15.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.80 Typical High $39.81 | Professional | TC · Technical part | $2.75 | $3.80 | $39.81 |
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 $8.13 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $8.13 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.31 | $4.68 | $4.68 |
Where Connecticut sits
The same service costs 2.5 times more in California than in Texas. 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· 15th of 51
$23.99
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.