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 $70.79 Median $91.20 Typical High $93.33 | Professional | None (both parts) | $70.79 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $28.18 | $30.90 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $162.18 Typical High $251.19 | Facility | None | $60.26 | $162.18 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $74.13 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $79.43 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $69.18 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $109.65 | Facility | None | $93.33 | $102.33 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $91.20 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $66.07 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $36.31 | $83.18 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $91.20 | $102.33 | $138.04 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $60.26 | $75.86 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $32.36 | $43.65 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $63.10 | $109.65 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $162.18 | Professional | 26 · Professional part | $38.02 | $63.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $26.30 | $47.86 | $91.20 |
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 $35.48 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $18.20 | $18.20 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska 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· 10th of 51
$126
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.