How much rates vary
Facilitymedian $324 · 10th to 90th $162 to $550Professionalmedian $174 · 10th to 90th $107 to $288
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 $112.20 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $112.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $56.23 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $549.54 | Facility | None | $165.96 | $331.13 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $107.15 | $229.09 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $104.71 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $123.03 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $123.03 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $724.44 | Facility | None | $120.23 | $229.09 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $138.04 | $173.78 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $89.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $87.10 | $151.36 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $128.82 | $177.83 | $208.93 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $83.18 | $104.71 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $109.65 | Professional | TC · Technical part | $77.62 | $97.72 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $97.72 | $162.18 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $213.80 | Professional | 26 · Professional part | $50.12 | $83.18 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $213.80 | Professional | TC · Technical part | $47.86 | $85.11 | $213.80 |
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 $54.95 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $22.39 | $31.62 | $31.62 |
Where Connecticut sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$174
MN $269UT $70.79
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.