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 $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $223.87 | $251.19 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $107.15 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $120.23 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $158.49 | $165.96 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $79.43 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $89.13 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $125.89 | $147.91 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $70.79 | $147.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $72.44 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $125.89 | $173.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $89.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $87.10 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where New Hampshire 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.
New Hampshire· 7th of 51
$224
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.