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 $97.72 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $14.79 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | TC · Technical part | $83.18 | $83.18 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $151.36 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $16.60 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $120.23 | $134.90 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $141.25 | $141.25 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $15.49 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $125.89 | $125.89 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $275.42 | Professional | None (both parts) | $89.13 | $125.89 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $33.11 | Professional | 26 · Professional part | $10.96 | $16.22 | $33.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $112.20 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $85.11 | $117.49 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $16.98 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $100.00 | $199.53 |
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 $48.98 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Where New Hampshire 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.
New Hampshire· 12th 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.