How much rates vary
Facilitymedian $724 · 10th to 90th $331 to $5,248Professionalmedian $251 · 10th to 90th $174 to $537
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 Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $169.82 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $109.65 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $134.90 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $851.14 | Facility | None | $426.58 | $602.56 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $144.54 | $457.09 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $208.93 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $870.96 | Facility | None | $257.04 | $407.38 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $204.17 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $112.20 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $138.04 | $251.19 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $257.04 | $257.04 | $346.74 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $181.97 | $269.15 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $81.28 | $120.23 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $380.19 | Professional | TC · Technical part | $100.00 | $154.88 | $380.19 |
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 $77.62 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $30.90 | $48.98 | $48.98 |
Where Connecticut sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 4th of 51
$363
WI $562HI $132
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.