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 $60.26 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $60.26 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $18.20 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $56.23 | $77.62 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $48.98 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $16.22 | $22.91 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $436.52 | Facility | None | $57.54 | $81.28 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $81.28 | $93.33 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $64.57 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $28.84 | $52.48 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $63.10 | $95.50 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $63.10 | $95.50 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $18.62 | $30.20 | $56.23 |
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 $29.51 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $29.51 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $11.75 | $17.78 | $17.78 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska 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
$85.11
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.