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 $14.79 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $14.79 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $2.14 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.95 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $19.95 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.17 Typical High $5.37 | Professional | TC · Technical part | $3.63 | $4.17 | $5.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $34.67 | Professional | None (both parts) | $19.05 | $19.05 | $34.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $3.89 Typical High $7.08 | Professional | TC · Technical part | $3.89 | $3.89 | $7.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $13.18 Median $19.50 Typical High $44.67 | Professional | None (both parts) | $13.18 | $19.50 | $44.67 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $15.49 | $31.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.07 Typical High $29.51 | Professional | TC · Technical part | $2.75 | $4.07 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $23.99 Typical High $51.29 | Professional | None (both parts) | $15.85 | $23.99 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $15.85 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.37 Typical High $31.62 | Professional | TC · Technical part | $3.02 | $4.37 | $31.62 |
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 $7.41 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $7.41 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $2.95 | $7.76 | $7.76 |
Where New Hampshire 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.
New Hampshire· 25th of 51
$20.42
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.