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 $13.80 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $13.80 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $2.04 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $19.05 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $12.88 | $14.79 | $19.05 |
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 $17.78 Median $17.78 Typical High $33.88 | Professional | None (both parts) | $17.78 | $17.78 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $14.13 | $14.13 | $18.62 |
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 $12.30 Median $17.78 Typical High $39.81 | Professional | None (both parts) | $12.30 | $17.78 | $39.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $27.54 | Professional | 26 · Professional part | $9.55 | $13.80 | $27.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.07 Typical High $12.30 | Professional | TC · Technical part | $2.75 | $4.07 | $12.30 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $22.39 Typical High $47.86 | Professional | None (both parts) | $14.79 | $22.39 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $10.72 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.37 Typical High $28.18 | Professional | TC · Technical part | $3.02 | $4.37 | $28.18 |
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 $6.92 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $6.92 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $2.75 | $7.24 | $7.24 |
Where New Hampshire sits
The same service costs 2.6 times more in California than in New York. 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· 26th of 51
$19.05
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.