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 $66.07 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $66.07 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $37.15 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $28.18 | $30.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $229.09 | Facility | None | $60.26 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $63.10 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $69.18 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $35.48 | $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 $83.18 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $83.18 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $36.31 | $81.28 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $85.11 | $95.50 | $128.82 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $52.48 | $66.07 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | TC · Technical part | $32.36 | $43.65 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $58.88 | $100.00 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $141.25 | Professional | 26 · Professional part | $32.36 | $54.95 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $26.30 | $46.77 | $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 $32.36 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $32.36 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $16.60 | $16.60 |
Where Connecticut sits
The same service costs 3.3 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· 8th of 51
$117
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.