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 $107.15 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $107.15 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $93.33 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $141.25 | $186.21 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $19.50 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $165.96 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $446.68 | Facility | None | $151.36 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $125.89 | $125.89 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $21.88 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $104.71 | $141.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $114.82 | $162.18 | $229.09 |
Health New England Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $91.20 | $112.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $16.22 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $93.33 | $151.36 |
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 $53.70 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $29.51 | $29.51 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 13th of 51
$148
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.